Matthew Michael Douglas Jones

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004072 Issued in MI

Practice address

3905 Lorraine Path
Saint Joseph, MI 49085-8630

Phone

(269) 428-1111

NPI assigned

Sep 23, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1780235580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 BOTHAM CT",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851917",
            "telephone_number": "269-449-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 LORRAINE PATH",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858630",
            "telephone_number": "269-428-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fanny Alaez Johnson, MA
• Kelly Johnson, L.M.T.
• Adam Everett Jones
• Bruce A Jones, M.D.
• Kristen Jones
• Johnny Lee Jordan
• Nathan John Jordan, MD
• Sharon Jordan
• Jessica Joyner
• Harpreet K Judge, MD

• Physical Therapy Assistant in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.