Active NPI
Christopher Matushak, PT, DPT
- Orthopedic Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT64543
- Practice address
- 11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933 - Phone
- (503) 214-5200
- Fax
- (503) 906-6613
- NPI assigned
- Nov 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018397 | OH | |
| Orthopedic Physical Therapist | 2251X0800X | PT64543 | OR | Primary |
Addresses
Primary practice location
11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933
Mailing address
11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933
Phone (503) 214-5200
Other practice location 1
14795 SW Murray Scholls Dr Ste 109
Beaverton, OR 97007-9230
Phone (503) 906-4301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64543 | Other | OR | PHYSICAL THERAPY LICENSE - OREGON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11782 SW Barnes Rd
Suite 300
Portland, OR 97225-5933
Phone (503) 214-5200
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.33 of 100
- Quality
- 57.12
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 86.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Fracture Clinic PC | Current | Accepting new patients | |
| Orthopedic & Fracture Clinic PC | Current | Accepting new patients |
Locations
14795 SW Murray Scholls Dr
Ste 109
Beaverton, OR 97007
Phone 5039064301 ext. 4301
11782 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 214-5200
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1285683656
-
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1871050153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1699311530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255933",
"telephone_number": "503-214-5200",
"fax_number": "503-906-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255933",
"telephone_number": "503-214-5200",
"fax_number": "503-906-6613"
}
],
"practiceLocations": [
{
"address_1": "14795 SW Murray Scholls Dr Ste 109",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970079230",
"country_code": "US",
"telephone_number": "503-906-4301",
"fax_number": "503-906-6613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATUSHAK",
"first_name": "CHRISTOPHER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-26",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT018397",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "PT64543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE - OREGON",
"identifier": "64543",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.