Active NPI
Matthew Peter Morici, DPT
- Physical Therapist
- North Baldwin, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 661 Stowe Ave
North Baldwin, NY 11510-1704 - Phone
- (516) 996-8703
- NPI assigned
- Dec 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
661 Stowe Ave
North Baldwin, NY 11510-1704
Mailing address
661 Stowe Ave
North Baldwin, NY 11510-1704
Phone (516) 996-8703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130603000086 | DC | Practitioner - Physical Therapist in Private Practice | 9032357066 | Reassigns benefits to 1 organization |
| I20230202000375 | VA | Practitioner - Physical Therapist in Private Practice | 9032357066 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Elden St
Suite 40a
Herndon, VA 20170-4874
Phone (703) 481-2359
44320 Premier PLZ
Suite 200
Ashburn, VA 20147-5077
Phone (703) 777-5746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine and Orthopedic Solutions LLC | Physical Therapist | Current | Accepting new patients |
Locations
44320 Premier Plz
Ste 200
Ashburn, VA 20147
Phone (571) 264-6919
112 Elden St
Ste 40A
Herndon, VA 20170
Phone (703) 481-2359
Organizations & group practices 1
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.
-
- Physical Therapist
- Ashburn, VA
- NPI 1700449808
DC, Physical Therapist, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1497059893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 STOWE AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101704",
"telephone_number": "516-996-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 STOWE AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101704",
"telephone_number": "516-996-8703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORICI",
"first_name": "MATTHEW",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-29",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.