Active NPI
Matthew A Rieder, DPT
- Physical Therapist
- Neptune Beach, FL
National Provider Identifier
1699924282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24024
- Practice address
- 700 3Rd St
Suite202
Neptune Beach, FL 32266-5072 - Phone
- (904) 249-5020
- Fax
- (904) 241-7777
- NPI assigned
- Sep 18, 2008
- Last updated
- Sep 18, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24024 | FL | Primary |
Addresses
Primary practice location
700 3Rd St
Suite202
Neptune Beach, FL 32266-5072
Mailing address
700 3Rd St
Suite202
Neptune Beach, FL 32266-5072
Phone (904) 249-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24024 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1699924282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 3RD ST",
"address_2": "SUITE202",
"city": "NEPTUNE BEACH",
"state": "FL",
"postal_code": "322665072",
"telephone_number": "904-249-5020",
"fax_number": "904-241-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 3RD ST",
"address_2": "SUITE202",
"city": "NEPTUNE BEACH",
"state": "FL",
"postal_code": "322665072",
"telephone_number": "904-249-5020",
"fax_number": "904-241-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDER",
"first_name": "MATTHEW",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neptune Beach, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.