Individual provider Active NPI

Matthew J Reuter, MD

  • Physical Medicine & Rehabilitation Physician
  • Newport, RI
National Provider Identifier
1487953014
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD18150 Issued in RI
Practice address
11 Friendship St
Newport, RI 02840-2209
Phone
(401) 845-1190
Fax
(401) 845-1073
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA0952500 NJ
Physical Medicine & Rehabilitation Physician 208100000X MT207791 PA
Physical Medicine & Rehabilitation Physician 208100000X 061507 CT
Physical Medicine & Rehabilitation Physician 208100000X MD18150 RI Primary

Addresses

Primary practice location

11 Friendship St
Newport, RI 02840-2209

Mailing address

11 Friendship St
Newport, RI 02840-2209
Phone (401) 845-1190

Other practice location 1

330 Western Boulevard
Hartford Hospital Physical Medicine & Rehab
Glastonbury, CT 06033-4383
Phone (860) 972-5107

Other practice location 2

80 Seymour Street
Hartford Hospital Physical Medicine & Rehab
Hartford, CT 06102-5037
Phone (860) 972-5107

Other practice location 3

85 Seymour Street
Hartford Hospital Physical Medicine & Rehab
Hartford, CT 06106
Phone (860) 972-5107

Other identifiers 2

IdentifierTypeStateIssuer
1487953014MedicaidRI
MD18150OtherRIMEDICAL STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180823002729 CT Practitioner - Physical Medicine and Rehabilitation 4183934136 Reassigns benefits to 3 organizations
I20211230002115 RI Practitioner - Physical Medicine and Rehabilitation 4183934136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Core Physical Therapy and Sports Medicine PCGroup PAC ID 6204105364, 5 clinicians

Practice addresses (Care Compare)

3180 Main St
Suite 202
Bridgeport, CT 06606-4237
Phone (203) 373-1593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
061507CTMDPhysical Medicine & Rehabilitation Physician
25MA0952500NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Hartford Hospital CurrentSince Aug 6, 2018 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Core Physical Therapy & Sports Medicine PC CurrentSince May 1, 2025 Accepting new patients
Hartford Hospital Physical Medicine & Rehabilitation CurrentSince Aug 6, 2018 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

3180 Main St
Ste 202
Bridgeport, CT 06606
Phone (203) 373-1593

3180 Main St
Ste 202204
Bridgeport, CT 06606
Phone (203) 373-1593

330 Western Blvd
Glastonbury, CT 06033
Phone (860) 524-4566

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

999 Summer St
Ste 304
Stamford, CT 06905
Phone (203) 325-5700

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

765 Allens Ave
Ste 110
Providence, RI 02905
Phone (401) 432-6800

765 Allens Ave
Ste 104
Providence, RI 02905
Phone (401) 606-8080

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1487953014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402209",
            "telephone_number": "401-845-1190",
            "fax_number": "401-845-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402209",
            "telephone_number": "401-845-1190",
            "fax_number": "401-845-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Western Boulevard",
            "address_2": "Hartford Hospital Physical Medicine & Rehab",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334383",
            "country_code": "US",
            "telephone_number": "860-972-5107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Seymour Street",
            "address_2": "Hartford Hospital Physical Medicine & Rehab",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061025037",
            "country_code": "US",
            "telephone_number": "860-972-5107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Seymour Street",
            "address_2": "Hartford Hospital Physical Medicine & Rehab",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06106",
            "country_code": "US",
            "telephone_number": "860-972-5107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REUTER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA0952500",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MT207791",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "061507",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "RI",
            "license": "MD18150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487953014",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "MD18150",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.