Active NPI
Matthew McCarty
- Physical Therapist
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P16326
- Practice address
- 929 S Locust St
Grand Island, NE 68801-6751 - Phone
- (308) 382-9700
- Fax
- (308) 382-9898
- NPI assigned
- Jun 16, 2016
- Last updated
- Jul 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P16326 | NC | Primary |
| Physical Therapist | 225100000X | 3578 | NE |
Addresses
Primary practice location
929 S Locust St
Grand Island, NE 68801-6751
Mailing address
4829 Carolina Beach Rd
Ste 100
Wilmington, NC 28412-2366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P16326 | NC | MD | Physical Therapist |
| 3578 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Seniors | Single Specialty | Current | Accepting new patients |
| Zumbro and Connell, Inc | Single Specialty | Current | Accepting new patients |
Locations
14057 US Highway 17
Ste 230
Hampstead, NC 28443
Phone (910) 821-3377
4829 Carolina Beach Rd
Ste 100
Wilmington, NC 28412
Phone (910) 444-0020
5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bodies In Balance Physical Therapy
- Physical Therapy Clinic/Center
- Wilmington, NC
- NPI 1750567889
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1821448200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4829 CAROLINA BEACH RD",
"address_2": "STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 S LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688016751",
"telephone_number": "308-382-9700",
"fax_number": "308-382-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTY",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-16",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P16326",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.