Nicholas Grant Matthews, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3294-024 Issued in WI

Practice address

110 Belmont Rd
Madison, WI 53714-3129

Phone

(608) 249-7391

NPI assigned

May 22, 2007

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

Other names 1

• Mr. Nick Grant Matthews Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548479017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 WAUNONA WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131528",
            "telephone_number": "608-222-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BELMONT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537143129",
            "telephone_number": "608-249-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "NICHOLAS",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3294-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40173700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "MATTHEWS",
            "middle_name": "GRANT",
            "prefix": "MR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Camilla K.B. Matthews, MD
• Damilola Matthews, DNP
• Jennafer Curtis Matthews, LPC
• Michael Matthews
• Natalie Matthews, LCSW
• Ryan J Mattison, MD
• Jordan Mattson, PHARMD, BCACP
• Jacob Todd Matulle, DO
• Brianna Terese Matundulo, PA-C
• Ann M Matyas, OTR CHT LA-C

• Physical Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.