Individual provider Active NPI

Matthew P Tripp, DPT

  • Physical Therapist
  • Biddeford, ME
National Provider Identifier
1659716454
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
380 Elm St
Unit 7
Biddeford, ME 04005-3070
Phone
(207) 571-3240
Fax
(207) 571-3430
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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 ME Primary

Addresses

Primary practice location

380 Elm St
Unit 7
Biddeford, ME 04005-3070

Mailing address

380 Elm St
Unit 7
Biddeford, ME 04005-3070
Phone (207) 571-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000248 ME Practitioner - Physical Therapist in Private Practice 6204077241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 Elm St
Suite 7
Biddeford, ME 04005-3059
Phone (207) 571-3420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 11, 2013 Accepting new patients

Locations

380 Elm St
Ste 7
Biddeford, ME 04005
Phone (207) 571-3240

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.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1659716454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ELM ST",
            "address_2": "UNIT 7",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053070",
            "telephone_number": "207-571-3240",
            "fax_number": "207-571-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ELM ST",
            "address_2": "UNIT 7",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053070",
            "telephone_number": "207-571-3240",
            "fax_number": "207-571-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.