Individual provider Active NPI

Matthew Purdy, PT

  • Specialist
  • Albany, NY
National Provider Identifier
1811925449
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
025637-1 Issued in NY
Practice address
632 Western Ave
Albany, NY 12203-1830
Phone
(518) 689-0888
Fax
(518) 689-0889
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 025637-1 NY Primary

Addresses

Primary practice location

632 Western Ave
Albany, NY 12203-1830

Mailing address

632 Western Ave
Albany, NY 12203-1830
Phone (518) 689-0888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000038 NY Practitioner - Physical Therapist in Private Practice 7315925880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Physical Therapy Associates LLPGroup PAC ID 1850463514, 2 clinicians

Practice addresses (Care Compare)

632 Western Ave
Albany, NY 12203-1830
Phone (518) 689-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025637-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physical Therapy PLLC CurrentSince Sep 30, 2016 Accepting new patients
Manual Physical Therapy Associates, LLP CurrentSince Jun 30, 2008 Accepting new patients
John V Murphy Physical Therapy, PC Specialist PastSince Mar 7, 2005 Accepting new patients

Locations

632 Western Ave
Albany, NY 12203
Phone (518) 378-5025

Organizations & group practices 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1811925449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031830",
            "telephone_number": "518-689-0888",
            "fax_number": "518-689-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031830",
            "telephone_number": "518-689-0888",
            "fax_number": "518-689-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "025637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.