Active NPI
Matthew James Dykema, DPT
- Physical Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60784166
- Practice address
- 601 SE 117TH Ave Ste 210
Vancouver, WA 98683-5297 - Phone
- (360) 254-6161
- Fax
- (360) 449-1146
- NPI assigned
- Jul 29, 2010
- Last updated
- Oct 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60784166 | WA | Primary |
Addresses
Primary practice location
601 SE 117TH Ave Ste 210
Vancouver, WA 98683-5297
Mailing address
200 NE Mother Joseph PL Ste 210
Vancouver, WA 98664-3295
Phone (360) 254-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
Practice addresses (Care Compare)
601 SE 117TH Ave
210 Rebound Physical Therapy
Vancouver, WA 98683-5297
Phone (360) 449-8700
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60784166 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Surgical Specialists, P.C. | Current | Accepting new patients | |
| Northwest Surgical Specialists PC | Current | Accepting new patients | |
| Orthopedic Rehabilitation Associates PC | Physical Therapist | Past | Accepting new patients |
Locations
200 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2990
200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145
601 SE 117th Ave
Ste 210
Vancouver, WA 98683
Phone (360) 449-8700
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- matt.dykemapt.p1@direct.reboundmd.nextgenshare.com
Organizations & group practices 3
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.
-
dba Rebound Orthopedics & Neurosurgical Specialists
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1730118803
WA
-
dba Rebound Physical Therapy Salmon Creek
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1821510306
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1801907662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1568776854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643295",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SE 117TH AVE STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835297",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKEMA",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60784166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.