Active NPI
Matthew Greenroyd, M.P.T.
- Physical Therapist
- Moore, OK
National Provider Identifier
1639212434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3909
- Practice address
- 2111 Riverwalk Dr
Moore, OK 73160-2700 - Phone
- (405) 793-7885
- NPI assigned
- Feb 14, 2007
- 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 | 3909 | OK | Primary |
Addresses
Primary practice location
2111 Riverwalk Dr
Moore, OK 73160-2700
Mailing address
4701 Millstone Dr
Oklahoma City, OK 73179-2816
Phone (405) 420-3079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20009530A | Medicaid | OK |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Fitness & Rehabilitation | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1154609220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1639212434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 MILLSTONE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731792816",
"telephone_number": "405-420-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 RIVERWALK DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731602700",
"telephone_number": "405-793-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENROYD",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20009530A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.