Active NPI
Matthew Carter, DPT
- Physical Therapist
- Sisters, OR
National Provider Identifier
1578005195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62131
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-4880 | Other | ID | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Zadow Inc. P.S. | Physical Therapist | Current | Accepting new patients |
| Trivium Wellness | Current | 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.
-
- Physical Therapist
- Sisters, OR
- NPI 1407802101
-
- Physical Therapy Clinic/Center
- Bend, OR
- NPI 1114638954
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.