Matthew S McDonald, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1904 Issued in GA

Practice address

661 Collier Commons Cir NW
Atlanta, GA 30318-1736

Phone

(404) 351-3323

Fax

(404) 351-0862

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spine & Orthopedic Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jonesboro, GA
  • NPI 1871553297
  Medicare reassignment NPD
• Peachtree Orthopaedic Clinic PA

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1811912611

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1679592513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 COLLIER COMMONS CIR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181736",
            "telephone_number": "404-351-3323",
            "fax_number": "404-351-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 COLLIER COMMONS CIR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181736",
            "telephone_number": "404-351-3323",
            "fax_number": "404-351-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "1904",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Carl McDonald, MD
• Kathryn A McDonald, PT
• Kayla Simone McDonald
• Kurt Anthony McDonald, PT
• Mark William McDonald, M.D.
• Merrine T. McDonald, LCSW
• Paul Porter McDonald, DDS
• Payton McDonald
• Robert Vaden McDonald, MT
• Sally S McDonald, LPC

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.