Individual provider Active NPI

Jens K Matson, PT. DPT, OCS, CMPT

  • Physical Therapist
  • Spearfish, SD
National Provider Identifier
1760891923
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2085 Issued in SD
Practice address
520 N Canyon St
Spearfish, SD 57783-2320
Phone
(605) 642-7996
Fax
(605) 642-5955
NPI assigned
Aug 12, 2014
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60718 OR
Physical Therapist 225100000X 2085 SD Primary

Addresses

Primary practice location

520 N Canyon St
Spearfish, SD 57783-2320

Mailing address

520 N Canyon St
Spearfish, SD 57783-2320
Phone (605) 642-7996

Other identifiers 1

IdentifierTypeStateIssuer
R194790OtherORMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181105002347 SD Practitioner - Physical Therapist in Private Practice 9830310929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matson Therapy LLCGroup PAC ID 4486063898, 6 clinicians

Practice addresses (Care Compare)

520 N Canyon St
Spearfish, SD 57783-2320
Phone (605) 642-7996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60718ORMDPhysical Therapist
2085SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matson Therapy, LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Black Hills Physical Therapy, Inc. Physical Therapist CurrentSince Sep 10, 2018 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

520 N Canyon St
Spearfish, SD 57783
Phone (605) 642-7996

Interoperability endpoints

  • Direct secure messaging: jensmatsondpt@matsontherapy.direct.kno2fy.com

Organizations & group practices 4

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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1760891923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "JENS",
        "middle_name": "K",
        "credential": "PT. DPT, OCS, CMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60718",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R194790",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.