Individual provider Active NPI

Matthew S Smith, P.T.

  • Physical Therapist
  • Cedar Falls, IA
National Provider Identifier
1710163696
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004057 Issued in IA
Practice address
211 W 6TH St
Cedar Falls, IA 50613-2859
Phone
(319) 277-3166
Fax
(319) 266-4846
NPI assigned
Jan 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 004057 IA Primary

Addresses

Primary practice location

211 W 6TH St
Cedar Falls, IA 50613-2859

Mailing address

211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912002159 IA Practitioner - Physical Therapist in Private Practice 9335435650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Therapy Clinic PCGroup PAC ID 4486659851, 12 clinicians

Practice addresses (Care Compare)

211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Therapy Clinic PC Physical Therapist CurrentSince Jun 2, 2016 Accepting new patients

Locations

924 Viking Rd
Ste 101
Cedar Falls, IA 50613
Phone (319) 260-2240

211 W 6th St
Cedar Falls, IA 50613
Phone (319) 277-3166

927 W 4th St
Waterloo, IA 50702
Phone (319) 233-3691

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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1710163696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "319-277-3166",
            "fax_number": "319-266-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "319-277-3166",
            "fax_number": "319-266-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.