Matthew Stoutenburg, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024389 Issued in NY

Practice address

59 Perinton Hills Shopping Ctr
Fairport, NY 14445

Phone

(585) 385-0444

Fax

(585) 385-0442

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shuman Physical Therapy Associates, P.C.

  • Physical Therapist
  • Rochester, NY
  • NPI 1003928755
  Medicare reassignment Care Compare group NPD
• Mendon Physical Therapy Management, PC

  • Physical Therapist
  • Mendon, NY
  • NPI 1245334929
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1750373783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060212",
            "telephone_number": "585-582-6085",
            "fax_number": "844-638-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PERINTON HILLS SHOPPING CTR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14445",
            "telephone_number": "585-385-0444",
            "fax_number": "585-385-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUTENBURG",
        "first_name": "MATTHEW",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Stolarczyk, RN
• Karen Marie Stolt, SLP
• Karen Stone
• Shayne Stonier
• Sharalyn Stott, ED.S
• Daniel Strack, PT, DPT
• Kassandra Fay Strack, M.S., CCC-SLP/L
• Brandie M Straight
• Alicia R Strassner, LPN
• Barbara A. Sulewski, O.D.

• Physical Therapist in Fairport, NY
• Providers in Fairport, NY by specialty
• Physical Therapist in New York

• 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.