Individual provider Active NPI

David Matthew Mator, DPT

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1558648097
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020608 Issued in PA
Practice address
1 Alpha Dr
Pittsburgh, PA 15238-2943
Phone
(724) 212-3727
Fax
(724) 212-3999
NPI assigned
Nov 11, 2011
Last updated
Nov 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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 PT020608 PA Primary

Addresses

Primary practice location

1 Alpha Dr
Pittsburgh, PA 15238-2943

Mailing address

125 Reed St
Lower Burrell, PA 15068-2945
Phone (412) 719-8881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927002197 SC Practitioner - Physical Therapist in Private Practice 3173783206 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

Practice addresses (Care Compare)

4623 Planters Row Way
Myrtle Beach, SC 29579-3674
Phone (843) 246-9881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7963SCMDMental Health Counselor
PT020608PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mator Therapy Services LLC Physical Therapist CurrentSince Jul 3, 2023 Accepting new patients

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, 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": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1558648097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 REED ST",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682945",
            "telephone_number": "412-719-8881",
            "fax_number": "724-212-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALPHA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382943",
            "telephone_number": "724-212-3727",
            "fax_number": "724-212-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOR",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.