Matthew S Koster, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-32028 Issued in AZ

Practice address

3850 W Happy Valley Rd Ste 147-149
Glendale, AZ 85310-3280

Phone

(623) 322-8925

NPI assigned

Dec 16, 2021

Last updated

Dec 16, 2021By the provider in NPPES

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Physical Therapy LLCGroup PAC ID 4789978735, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Impact Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1215319413

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  Medicare reassignment NPD
• Impact Physical Therapy - 2 LLC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1245895739
  Medicare reassignment NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1073224267
  NPD

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1801555941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11958 N 80TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853451325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W HAPPY VALLEY RD STE 147-149",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103280",
            "telephone_number": "623-322-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimas Kosa
• Susan Koscak
• Sierra Koskovich, RBT
• Michael Angelo Kostarides, PHARMD
• Karly Koster, FNP-C
• Praveena R Kothur, M.D.
• Zarine M Kotian, M.D.
• Alison Marie Kotowski, MOT, OTR/L
• Leslie A Kotsis, NP-ADULT
• Roshan Kottoor

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.