Organization Active NPI

Matter Rehabilitation PT OT Speech PLLC

  • Physical Therapy Clinic/Center
  • Bayside, NY
National Provider Identifier
1760188569
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MATTER REHABILITATION PT OT SPEECH PLLC
Practice address
4307 214TH PL Ste 1
Bayside, NY 11361-2928
Phone
(718) 808-9420
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Kenny Ta, PT, DPTNPI 1548866312
Title
Owner
Phone
(347) 241-7338

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4307 214TH PL Ste 1
Bayside, NY 11361-2928

Mailing address

8435 Penelope Ave
Middle Village, NY 11379-2443
Phone (347) 241-7338

Other practice location 1

8435 Penelope Ave
Middle Village, NY 11379-2443
Phone (347) 241-7338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230222000468 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406229400 Receives reassigned benefits from 3 practitioners
Practice locations: Middle Village, NY

National Provider Directory

National Provider Directory

Locations

4307 214th Pl
#1
Bayside, NY 11361

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1760188569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 PENELOPE AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792443",
            "telephone_number": "347-241-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 214TH PL STE 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612928",
            "telephone_number": "718-808-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8435 Penelope Ave",
            "address_purpose": "LOCATION",
            "city": "Middle Village",
            "state": "NY",
            "postal_code": "113792443",
            "country_code": "US",
            "telephone_number": "347-241-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTER REHABILITATION PT OT SPEECH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-241-7338",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.