Individual provider Active NPI

Matthew Albert Teijido, DPT

  • Physical Therapist
  • Geneseo, IL
National Provider Identifier
1639656994
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-024852 Issued in IL
Practice address
1225 S Oakwood Ave Ste 1
Geneseo, IL 61254-1990
Phone
(309) 944-6447
NPI assigned
Jul 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 070-024852 IL Primary

Addresses

Primary practice location

1225 S Oakwood Ave Ste 1
Geneseo, IL 61254-1990

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191226001447 IL Practitioner - Physical Therapist in Private Practice 4082958491 Reassigns benefits to 2 organizations
I20240306000683 IA Practitioner - Physical Therapist in Private Practice 4082958491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Valley Physical Therapy Center 232 clinicians

Practice addresses (Care Compare)

1225 S Oakwood Ave
Suite 1
Geneseo, IL 61254-1990
Phone (309) 944-6447

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-024852ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients

Locations

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

314 S Madison St
Iowa City, IA 52240
Phone (319) 248-0373

1225 S Oakwood Ave
Ste 1
Geneseo, IL 61254
Phone (309) 944-6447

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

850 43rd Ave
Ste 300
Moline, IL 61265
Phone (309) 743-0300

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

902 Illini Dr
Silvis, IL 61282
Phone (309) 796-3450

685 Avenue of the Cities
Ste 101
Silvis, IL 61282
Phone (309) 792-3860

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Interoperability endpoints

  • Direct secure messaging: matthew.teijido.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 7

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1639656994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S OAKWOOD AVE STE 1",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541990",
            "telephone_number": "309-944-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIJIDO",
        "first_name": "MATTHEW",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-024852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.