Active NPI
Matthew Israel, PT
- Physical Therapist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1360553
- Practice address
- 4110 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-7837 - Phone
- (719) 632-7669
- Fax
- (719) 632-0088
- NPI assigned
- May 11, 2022
- Last updated
- Jan 26, 2024
- 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 | 1360553 | TX | Primary |
Addresses
Primary practice location
4110 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-7837
Mailing address
4110 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-7837
Phone (719) 632-7669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 70.6
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1360553 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Springs Orthopaedic Group | Current | Accepting new patients | |
| Colorado Springs Orthopaedic Group | Current | Accepting new patients | |
| Agility Physical Therapy and Sports Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329
306 W Edgewood Dr
Ste E
Friendswood, TX 77546
Phone (281) 998-0901
11450 Space Center Blvd
Ste 201
Houston, TX 77059
Phone (281) 988-0901
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Colorado Springs, CO
- NPI 1972578359
-
- Physical Therapist
- Houston, TX
- NPI 1720484678
-
dba Audubon Orthotic and Prosthetic Services
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1417957275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1720724800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 BRIARGATE PKWY STE 300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207837",
"telephone_number": "719-632-7669",
"fax_number": "719-632-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 BRIARGATE PKWY STE 300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207837",
"telephone_number": "719-632-7669",
"fax_number": "719-632-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "MATTHEW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1360553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.