Individual provider Active NPI

Joel R Matuskey, PT

  • Orthopedic Physical Therapist
  • Catonsville, MD
National Provider Identifier
1619961992
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
14312 Issued in MD
Practice address
1112 N Rolling Rd
Catonsville, MD 21228-3826
Phone
(410) 869-3112
Fax
(410) 869-3115
NPI assigned
Sep 1, 2005
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 14312 MD Primary

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

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14312MDMDProsthodontist

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.