Matt Esrick, PT, DPT,MBA,A-RSP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040927 Issued in NY

Practice address

2100 Middle Country Rd
Suite 17 Lower Level
Centereach, NY 11720-3577

Phone

(631) 504-0680

Fax

(631) 204-6577

NPI assigned

Nov 28, 2016

Last updated

Sep 7, 2023By 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

Other names 1

• Matthew R Esrick Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Stony Brook, School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

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.

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  Medicare reassignment NPD
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  • NPI 1184433120
  NPD

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1811430788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MIDDLE COUNTRY RD",
            "address_2": "SUITE 17 LOWER LEVEL",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203577",
            "telephone_number": "631-504-0680",
            "fax_number": "631-204-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MIDDLE COUNTRY RD",
            "address_2": "SUITE 17 LOWER LEVEL",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203577",
            "telephone_number": "631-504-0680",
            "fax_number": "631-204-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESRICK",
        "first_name": "MATT",
        "credential": "PT, DPT,MBA,A-RSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "ESRICK",
            "middle_name": "R",
            "credential": "PT, DPT,MBA,A-RSP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katlin May Enriquez, AGNP-C
• Eric Spronz, Psychiatric Nurse Practitioner P.C. (East End Neurpsych)
• Luann Mongiello Esen, LCSW BCD
• Edna Espada, RN
• Lea T Esperance, MD
• Emmanuel Anthony Euceda
• Amber Fales, ACRN, NP
• Matthew Robert Fallon
• Patricia A Famighetti, LPN
• Lauren Farenga

• Physical Therapist in Centereach, NY
• Providers in Centereach, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.