Individual provider Active NPI

Kathleen Matejik, DPT

  • Physical Therapist
  • Jenkintown, PA
National Provider Identifier
1609252758
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016520 Issued in PA
Practice address
261 Old York Rd Ste 701
Jenkintown, PA 19046-3715
Phone
(215) 884-1709
Fax
(215) 405-2745
NPI assigned
Jul 30, 2015
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 PT016520 PA Primary

Addresses

Primary practice location

261 Old York Rd Ste 701
Jenkintown, PA 19046-3715

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

770 Newtown Yardley Rd
Suite 210
Newtown, PA 18940-4501
Phone (215) 860-7031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005003189 PA Practitioner - Physical Therapist in Private Practice 5294043600 Reassigns benefits to 4 organizations
Practice locations: Huntingdon Valley, PA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks Physical and Sports Rehabilitation LLCGroup PAC ID 0042101347, 29 clinicians

Practice addresses (Care Compare)

100 Almshouse Rd
Richboro, PA 18954-1108
Phone (215) 357-2000

164 N Flowers Mill Rd
Langhorne, PA 19047-1652
Phone (267) 585-3377

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT, Inc. CurrentSince Sep 15, 2022 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Sep 15, 2022 Accepting new patients
Lal Ventures Group PastSince Mar 26, 2023 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

624 York Rd
Warminster, PA 18974
Phone (267) 387-9622

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1609252758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 701",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463715",
            "telephone_number": "215-884-1709",
            "fax_number": "215-405-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Newtown Yardley Rd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189404501",
            "country_code": "US",
            "telephone_number": "215-860-7031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEJIK",
        "first_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.