Individual provider Active NPI

Matthew Carter, DPT

  • Physical Therapist
  • Sisters, OR
National Provider Identifier
1578005195
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62131 Issued in OR
Practice address
325 N Locust St
Sisters, OR 97759-5047
Phone
(541) 549-3534
Fax
(541) 549-1272
NPI assigned
Nov 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 62131 OR Primary

Addresses

Primary practice location

325 N Locust St
Sisters, OR 97759-5047

Mailing address

PO Box 1911
Sisters, OR 97759-1911
Phone (541) 549-3534

Other identifiers 1

IdentifierTypeStateIssuer
PT-4880OtherIDPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712004006 OR Practitioner - Physical Therapist in Private Practice 8022399104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory Zadow Inc PSGroup PAC ID 8022021187, 7 clinicians
Trivium WellnessGroup PAC ID 4880043272, 3 clinicians

Practice addresses (Care Compare)

325 N Locust St
Sisters, OR 97759-5047
Phone (541) 549-3534

360 SW Bond St
Suite 130
Bend, OR 97702-3540
Phone (708) 601-3497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Zadow Inc. P.S. Physical Therapist CurrentSince Jun 19, 2017 Accepting new patients
Trivium Wellness CurrentSince Sep 1, 2025 Accepting new patients

Locations

360 SW Bond St
Ste 130
Bend, OR 97702
Phone (541) 316-0604

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1578005195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1911",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591911",
            "telephone_number": "541-549-3534",
            "fax_number": "541-549-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N LOCUST ST",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977595047",
            "telephone_number": "541-549-3534",
            "fax_number": "541-549-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT-4880",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.