Active NPI
Matthew Pedrotti, DPT
- Physical Therapist
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010852
- Practice address
- 1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538 - Phone
- (770) 460-8609
- Fax
- (770) 460-8629
- NPI assigned
- Nov 6, 2012
- 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 | PT010852 | GA | Primary |
Addresses
Primary practice location
1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002
8701 Cuyamaca St
Santee, CA 92071-4253
Phone (858) 499-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010852 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Physical Therapist | Past | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
7862 El Cajon Blvd
La Mesa, CA 91942
Phone (619) 644-6401
5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6109
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
8701 Cuyamaca St
Santee, CA 92071
Phone (619) 568-8025
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1588918031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 HIGHWAY 54 W STE 200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144538",
"telephone_number": "770-460-8609",
"fax_number": "770-460-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDROTTI",
"first_name": "MATTHEW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.