Individual provider Active NPI

Matthew Peter Morici, DPT

  • Physical Therapist
  • North Baldwin, NY
National Provider Identifier
1497059893
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
Spine and Orthopedic Solutions LLCGroup PAC ID 1456694884, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Spine and Orthopedic Solutions LLC Physical Therapist CurrentSince Sep 22, 2022 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.

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.

Verify at the official NPI Registry.