Individual provider Active NPI

Matthew Thomas Baltus, DPT

  • Physical Therapist
  • Sartell, MN
National Provider Identifier
1609342203
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11235 Issued in MN
Practice address
2301 Connecticut Ave S
Sartell, MN 56377-2474
Phone
(320) 229-1500
NPI assigned
Oct 22, 2018
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 11235 MN Primary

Addresses

Primary practice location

2301 Connecticut Ave S
Sartell, MN 56377-2474

Mailing address

9136 Goodrich Dr
Monticello, MN 55362-4551
Phone (218) 301-9583

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbaltus844858@direct.centracare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228003035 MN Practitioner - Physical Therapist in Private Practice 7517206980 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

110 2ND St S
Suite 104
Waite Park, MN 56387-1367
Phone (320) 259-9375

1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700

1564 Cty Rd
Suite 134
St Cloud, MN 56303-0346
Phone (320) 229-4950

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone (320) 654-3630

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
94.03
Promoting interoperability
94.64
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11235MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain & Physical Medicine Clinic CurrentSince Oct 22, 2018 Accepting new patients
St. Cloud Hospital CurrentSince Nov 1, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Interventional Pain & Physical Medicine Clinic Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients
St. Cloud Hospital CurrentSince Nov 1, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

11175 27th Ave SE
Becker, MN 55308
Phone (763) 262-8000

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1900 Centracare Cir
Ste 1000
Saint Cloud, MN 56303
Phone (320) 229-4945

2301 Connecticut Ave S
Sartell, MN 56377
Phone (320) 229-1500

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mbaltus844858@direct.centracare.com

Organizations & group practices 8

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1609342203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9136 GOODRICH DR",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624551",
            "telephone_number": "218-301-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CONNECTICUT AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772474",
            "telephone_number": "320-229-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTUS",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbaltus844858@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mbaltus844858@direct.centracare.com",
            "address_1": "1900 Centracare Cir Ste 1000",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563035000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.