Individual provider Active NPI

Mathew Thomas, PT, DPT, ATC/L, CEAS

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1578717898
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8030 Issued in AZ
Practice address
5970 S Cooper Rd
#4
Chandler, AZ 85249-5393
Phone
(480) 895-0965
Fax
(877) 231-1174
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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 8030 AZ Primary

Addresses

Primary practice location

5970 S Cooper Rd
#4
Chandler, AZ 85249-5393

Mailing address

4960 S Gilbert Rd
Suite 1-138
Chandler, AZ 85249-5982
Phone (480) 895-0965

Other identifiers 1

IdentifierTypeStateIssuer
1083928766OtherAZGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000463 AZ Practitioner - Physical Therapist in Private Practice 8123166634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sozo Physical TherapyGroup PAC ID 4284816711, 5 clinicians

Practice addresses (Care Compare)

12220 E Riggs Rd
Suite 101
Chandler, AZ 85249-3739
Phone (480) 895-0965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sozo Physical Therapy CurrentSince Jan 1, 2011 Accepting new patients

Locations

5970 S Cooper Rd
Ste 4
Chandler, AZ 85249
Phone (480) 895-0965

12220 E Riggs Rd
Ste 101
Chandler, AZ 85249
Phone (480) 883-2266

406 N Litchfield Rd
Ste 204
Goodyear, AZ 85338
Phone (602) 995-0400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1578717898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 S GILBERT RD",
            "address_2": "SUITE 1-138",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495982",
            "telephone_number": "480-895-0965",
            "fax_number": "877-231-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 S COOPER RD",
            "address_2": "#4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495393",
            "telephone_number": "480-895-0965",
            "fax_number": "877-231-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC/L, CEAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1083928766",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.