Joel R Matuskey, PT – Orthopedic Physical Therapist

Key facts

NPI: 1619961992
Entity type: Individual (NPI type 1)
Primary specialty: Orthopedic Physical Therapist 2251X0800X
License: 14312 (MD)
Practice address: 1112 N Rolling Rd
Catonsville, MD 21228-3826
Phone: (410) 869-3112
Fax: (410) 869-3115
NPI assigned: Sep 1, 2005
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
HHS exclusion list flag: The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopedic Physical Therapist	2251X0800X	14312	MD	Yes

Addresses

Primary practice location

1112 N Rolling Rd
Catonsville, MD 21228-3826

Mailing address

1112 N Rolling Rd
Catonsville, MD 21228-3826
Phone (410) 869-3112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2007.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1619961992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283826",
            "telephone_number": "410-869-3112",
            "fax_number": "410-869-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283826",
            "telephone_number": "410-869-3112",
            "fax_number": "410-869-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSKEY",
        "first_name": "JOEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "14312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

All providers in Catonsville, MD · Orthopedic Physical Therapist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.