Individual provider Active NPI

Matthew Keith Harkness, PT

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1720009699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19897 Issued in FL
Practice address
1255 Viscaya Pkwy #1
Ste 102
Cape Coral, FL 33990
Phone
(239) 242-0070
Fax
(239) 242-0076
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT19897 FL Primary

Addresses

Primary practice location

1255 Viscaya Pkwy #1
Ste 102
Cape Coral, FL 33990

Mailing address

1255 Viscaya Pkwy #1
Ste 102
Cape Coral, FL 33990
Phone (239) 242-0070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040918000110 FL Practitioner - Physical Therapist in Private Practice 2163490194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Allied Physical Therapy PAGroup PAC ID 6709854730, 5 clinicians

Practice addresses (Care Compare)

1469 SW 4TH Terrace
Cape Coral, FL 33991-1424
Phone (239) 242-0070

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physical Therapy, P.a. Physical Therapist CurrentSince Oct 1, 2004 Accepting new patients

Locations

1413 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 242-0070

1469 SW 4th Ter
Cape Coral, FL 33991
Phone (234) 242-0070

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720009699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 VISCAYA PKWY #1",
            "address_2": "STE 102",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-242-0070",
            "fax_number": "239-242-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 VISCAYA PKWY #1",
            "address_2": "STE 102",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-242-0070",
            "fax_number": "239-242-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKNESS",
        "first_name": "MATTHEW",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.