Individual provider Active NPI

Matthew L Adams, MPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1760416887
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20994 Issued in MD
Practice address
605 E Church St Ste 2
Frederick, MD 21701-5705
Phone
(240) 566-3568
Fax
(317) 884-3388
NPI assigned
Jul 11, 2006
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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 20994 MD Primary

Addresses

Primary practice location

605 E Church St Ste 2
Frederick, MD 21701-5705

Mailing address

3994 Daisy CT
Monrovia, MD 21770-8919
Phone (301) 865-2115

Other practice location 1

3994 Daisy Ct
Monrovia, MD 21770-8919
Phone (301) 865-2115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103001196 MD Practitioner - Physical Therapist in Private Practice 1951392943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homecare Rehab and Nursing LLCGroup PAC ID 7517026198, 11 clinicians

Practice addresses (Care Compare)

197 Thomas Johnson Dr
Suite B
Frederick, MD 21702-4314
Phone (301) 662-1997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20994MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physical Therapy, Inc. Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Homecare Rehab and Nursing LLC Physical Therapist CurrentSince Apr 18, 2017 Accepting new patients
Homecare Rehab, LLC Physical Therapist Past Accepting new patients

Locations

197 Thomas Johnson Dr
Ste B
Frederick, MD 21702
Phone (301) 662-1997

626 Trail Ave
Frederick, MD 21701
Phone (301) 662-1977

15201 Shady Grove Rd
Ste 106
Rockville, MD 20850
Phone (301) 948-4395

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1760416887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3994 DAISY CT",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217708919",
            "telephone_number": "301-865-2115",
            "fax_number": "301-865-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E CHURCH ST STE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015705",
            "telephone_number": "240-566-3568",
            "fax_number": "317-884-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3994 Daisy Ct",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "MD",
            "postal_code": "217708919",
            "country_code": "US",
            "telephone_number": "301-865-2115",
            "fax_number": "301-865-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.