Matthew Glenn O'Brien, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5664 Issued in ME

Practice address

23 Bridgton Rd Ste 2
Westbrook, ME 04092-3653

Phone

(207) 797-3477

NPI assigned

Sep 3, 2020

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Riverview Physical Therapy Limited Partnership

  • Physical Therapist
  • Portland, ME
  • NPI 1194396747
  NPD (past)
• Riverview Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1881784429

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1588278949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOREST FALLS DR",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRIDGTON RD STE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923653",
            "telephone_number": "207-797-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MATTHEW",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northbridge Avita of Stroudwater II LLC (Avita of Stroudwater)
• Haley Elizabeth Norton, FNP
• Kristen Marie Noyes, FNP
• NR Maine LLC
• Nu Transcription Inc
• Mary Elizabeth O'Neil, LCSW
• Oblu Bridge LLC (Oblu Bridge)
• Occupational Health Centers of the Southwest P.a.
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Joy W. Oliver, LCSW

• Physical Therapist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.