Matthew Allen Ystaas, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1614 Issued in ND

Practice address

1139 S 12TH St
Bismarck, ND 58504-6631

Phone

(701) 250-3110

NPI assigned

Jun 6, 2011

Last updated

Jun 6, 2011By the provider in NPPES

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 ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical Therapy and Sports Medicine PLLCGroup PAC ID 3870520703, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Performance Physical Therapy and Sports Medicine, PLLC

  • Physical Therapist
  • New Rockford, ND
  • NPI 1336237403
  Medicare reassignment Care Compare group NPD
• Applied Medical, Inc

  • Occupational Therapist
  • Bismarck, ND
  • NPI 1881665768

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1750675856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 14TH ST N",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 S 12TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046631",
            "telephone_number": "701-250-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YSTAAS",
        "first_name": "MATTHEW",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas John York, DDS
• Byul You
• Ethan Young Bird
• Brenna Young, DC
• Malette Young
• Ricky Yu, MD
• Debbie Zabel
• Carla J Zacher, MD
• Marley C Zachmann, DPT
• Janice Zachmeier

• Physical Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.