Individual provider Active NPI

Matthew R Kurimai, PT

  • Physical Therapist
  • Westport, CT
National Provider Identifier
1538475496
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008817 Issued in CT
Practice address
728 Post Rd E
Westport, CT 06880-5200
Phone
(203) 341-0488
Fax
(203) 227-8809
NPI assigned
Aug 29, 2010
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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 008817 CT Primary

Addresses

Primary practice location

728 Post Rd E
Westport, CT 06880-5200

Mailing address

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190528001588 CT Practitioner - Physical Therapist in Private Practice 2961745302 Reassigns benefits to 2 organizations

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
Ivyrehab Connecticut IncGroup PAC ID 8325203649, 71 clinicians

Practice addresses (Care Compare)

5 S Main St
Marlborough, CT 06447-1592
Phone (860) 840-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8817CTMDSocial Worker
008817CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Connecticut, Inc. Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Prohealth Physicians PC Physical Therapist CurrentSince May 13, 2019 Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

5 S Main St
Marlborough, CT 06447
Phone (860) 840-2778

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

631 S Quaker Ln
West Hartfrd, CT 06110
Phone (860) 231-6130

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1538475496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253506",
            "telephone_number": "203-384-8681",
            "fax_number": "203-384-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805200",
            "telephone_number": "203-341-0488",
            "fax_number": "203-227-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIMAI",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-29",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.