Individual provider Active NPI

Matthew Newman, PT

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1619267481
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4799 Issued in NM
Practice address
2404 S Locust St
Ste 5
Las Cruces, NM 88001-5789
Phone
(575) 521-4188
Fax
(575) 521-3668
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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 4799 NM Primary

Addresses

Primary practice location

2404 S Locust St
Ste 5
Las Cruces, NM 88001-5789

Mailing address

2404 S Locust St
Ste 5
Las Cruces, NM 88001-5789
Phone (575) 521-4188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304002406 AZ Practitioner - Physical Therapist in Private Practice 5991021776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Rehabilitation Network IncGroup PAC ID 8123926391, 2 clinicians

Practice addresses (Care Compare)

11509 S Fortuna Rd
Yuma, AZ 85367-7857
Phone (928) 342-8767

Merit-based Incentive Payment System (MIPS)

Final score
74.46 of 100Reported as group
Quality
58.42
Improvement activities
40
Cost
70.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4799NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Rehabilitation Network Inc Physical Therapist CurrentSince Dec 29, 2019 Accepting new patients
Quality Rehab Network Inc. Current Accepting new patients
Assisted Living Concepts Inc Past Accepting new patients
Real View Diagnostics LLC Physical Therapist PastSince Apr 2, 2016 Accepting new patients

Locations

11509 S Fortuna Rd
Yuma, AZ 85367
Phone (928) 342-8767

1951 W 25th St
Ste C
Yuma, AZ 85364
Phone (928) 276-4249

11509 S Fortuna Rd
Ste 2
Yuma, AZ 85367
Phone (631) 335-1459

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.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1619267481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST",
            "address_2": "STE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "575-521-4188",
            "fax_number": "575-521-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST",
            "address_2": "STE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "575-521-4188",
            "fax_number": "575-521-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.