Individual provider Active NPI

Matthew Paul Giuliano, PT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1780935320
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4589 Issued in OK
Practice address
3202 S Memorial Dr Ste 9
Tulsa, OK 74145-1323
Phone
(918) 280-0180
Fax
(918) 280-0170
NPI assigned
Sep 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 4589 OK Primary

Addresses

Primary practice location

3202 S Memorial Dr Ste 9
Tulsa, OK 74145-1323

Mailing address

2417 E 53Rd St
Suite100
Tulsa, OK 74105-6600
Phone (205) 259-3991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121102000053 OK Practitioner - Physical Therapist in Private Practice 7719137595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mattyg LLCGroup PAC ID 8729370978, 4 clinicians

Practice addresses (Care Compare)

3202 S Memorial Dr
Suite 9
Tulsa, OK 74145-1323
Phone (405) 996-6194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4589OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mattyg LLC Physical Therapist CurrentSince May 1, 2016 Accepting new patients
Beyond PT South PLLC Physical Therapist CurrentSince Dec 30, 2021 Accepting new patients

Locations

2417 E 53rd St
Ste 100
Tulsa, OK 74105

10106 S Sheridan Rd
Ste C
Tulsa, OK 74133
Phone (918) 701-0263

3202 S Memorial Dr
Ste 9
Tulsa, OK 74145
Phone (405) 996-6194

2417 E 53rd St
Tulsa, OK 74105
Phone (918) 351-1781

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1780935320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 E 53RD ST",
            "address_2": "SUITE100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056600",
            "telephone_number": "205-259-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323",
            "telephone_number": "918-280-0180",
            "fax_number": "918-280-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANO",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-22",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.