Active NPI
Matthew Richard Breton, PT,MPT,OCS,CSCS
- Physical Therapist
- Lyndonville, VT
National Provider Identifier
1629054697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.0003564
- Practice address
- 569 Main St
Lyndonville, VT 05851-9240 - Phone
- (802) 626-4224
- Fax
- (802) 626-5042
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0003564 | VT | Primary |
Addresses
Primary practice location
569 Main St
Lyndonville, VT 05851-9240
Mailing address
PO Box 905
St Johnsbury, VT 05819-0905
Phone (802) 748-8141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120126000543 | VT | Practitioner - Physical Therapist in Private Practice | 4981871290 | Reassigns benefits to 1 organization |
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
- Northeastern Vermont Regional Hospital Inc
Practice addresses (Care Compare)
569 Main St
Lyndonville, VT 05851-9240
Phone (802) 626-4224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0003564 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Physical Therapist | Current | Accepting new patients |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients |
Locations
1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638
Organizations & group practices 17
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.
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1013430511
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1326081811
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1548202690
-
- Rural Health Clinic/Center
- St Johnsbury, VT
- NPI 1871870899
-
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
-
- Medicare Defined Swing Bed Hospital Unit
- St Johnsbury, VT
- NPI 1053436956
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1174566541
-
- Pulmonary Disease Physician
- St. Johnsbury, VT
- NPI 1275126260
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1275576704
-
- Primary Care Clinic/Center
- St Johnsbury, VT
- NPI 1487732301
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1578997896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1629054697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058190905",
"telephone_number": "802-748-8141",
"fax_number": "802-748-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 MAIN ST",
"city": "LYNDONVILLE",
"state": "VT",
"postal_code": "058519240",
"telephone_number": "802-626-4224",
"fax_number": "802-626-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETON",
"first_name": "MATTHEW",
"middle_name": "RICHARD",
"credential": "PT,MPT,OCS,CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0003564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndonville, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.