Individual provider Active NPI

Orly Matheson, PA-C

  • Medical Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1659481141
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3732 Issued in FL
Practice address
21073 Powerline Rd Ste 35
Boca Raton, FL 33433-2306
Phone
(561) 489-8955
Fax
(561) 489-8960
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA3732 FL Primary

Addresses

Primary practice location

21073 Powerline Rd Ste 35
Boca Raton, FL 33433-2306

Mailing address

21073 Powerline Rd Ste 35
Boca Raton, FL 33433-2306
Phone (561) 489-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000611 FL Practitioner - Physician Assistant 7810083508 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Physician Care P aGroup PAC ID 2961456132, 18 clinicians

Practice addresses (Care Compare)

4800 Linton Blvd
F107
Delray Beach, FL 33445-6506
Phone (561) 498-5660

4800 Linton Boulevard
Suite F 107
Delray Beach, FL 33445-6506

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3732FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Nov 13, 2018 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Nov 13, 2018 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2018 Accepting new patients
Complete Urgent Healthcare LLC Past Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

3114 Croasdaile Dr
#200
Durham, NC 27705
Phone (877) 751-1157

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: orly.matheson@ppc.emedpractice.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1659481141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21073 POWERLINE RD STE 35",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332306",
            "telephone_number": "561-489-8955",
            "fax_number": "561-489-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21073 POWERLINE RD STE 35",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332306",
            "telephone_number": "561-489-8955",
            "fax_number": "561-489-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "ORLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.