Matthew L Sparrow, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3974 Issued in AZ

Practice address

5545 E Broadway Blvd Ste 113
Tucson, AZ 85711-3843

Phone

(520) 372-2724

Fax

(520) 844-9950

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arenson Wasserbeck LLC

  • Physical Therapist
  • Mesa, AZ
  • NPI 1316946379
  Medicare reassignment NPD
• Aw Broadway and Craycroft, LLC

  • Physical Therapist
  • Tucson, AZ
  • NPI 1588386494
  NPD
• Ideal Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1831353614
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1497783195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E BASELINE RD STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064626",
            "telephone_number": "480-396-2781",
            "fax_number": "480-854-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 E BROADWAY BLVD STE 113",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113843",
            "telephone_number": "520-372-2724",
            "fax_number": "520-844-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 W Irvington Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857464112",
            "country_code": "US",
            "telephone_number": "520-372-2724",
            "fax_number": "520-844-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507535",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Vaterlaus Sparks
• Marianne A Sparks
• Sparr Chiropractic PLLC
• Charles Patrick Sparr, DC
• Brenda Marie Sparrold, PHD
• Kelly Marie Spartonos
• Speak Moor LLC
• Stephanie Speake, MS, NCC, LAC
• Candace Petrina Speakman, M.D.
• Ronald Roland Speakman, R.N.

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.