Active NPI
Matthew Boyd, PTA
- Physical Therapy Assistant
- Chicago, IL
National Provider Identifier
1770144784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 1467 N Elston Ave Ste 103
Chicago, IL 60642-2449 - Phone
- (312) 943-3600
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
1467 N Elston Ave Ste 103
Chicago, IL 60642-2449
Mailing address
1467 N Elston Ave Ste 103
Chicago, IL 60642-2449
Phone (312) 943-3600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mboyd@icgrehab.com | International Consulting Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1770144784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1467 N ELSTON AVE STE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422449",
"telephone_number": "312-943-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1467 N ELSTON AVE STE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422449",
"telephone_number": "312-943-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "MATTHEW",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mboyd@icgrehab.com",
"affiliation": "Y",
"affiliationName": "International Consulting Group, Inc.",
"address_1": "1467 N Elston Ave Ste 103",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606422449",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.