NPIMap

Organization Active NPI

Matson Therapy, LLC

Doing business as Black Hills Physical Therapy

  • Physical Therapist
  • Spearfish, SD
National Provider Identifier
1710565684
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MATSON THERAPY, LLC
Doing business as
Black Hills Physical Therapy
Practice address
520 N Canyon St
Spearfish, SD 57783-2320
Phone
(605) 642-7996
Fax
(605) 642-5955
NPI assigned
Mar 31, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Jens K Matson, PT, DPT, OCS, CMPTNPI 1760891923
Title
Owner
Phone
(605) 642-7996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

520 N Canyon St
Spearfish, SD 57783-2320

Mailing address

520 N Canyon St
Spearfish, SD 57783-2320
Phone (605) 642-7996

Other names 1

  • Black Hills Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210513002916 SD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486063898 Receives reassigned benefits from 7 practitioners
Practice locations: Spearfish, SD

National Provider Directory

National Provider Directory

Locations

520 N Canyon St
Spearfish, SD 57783
Phone (605) 642-7996

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1710565684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATSON THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "JENS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-642-7996",
        "authorized_official_credential": "PT, DPT, OCS, CMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hills Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.