Individual provider Active NPI

Matthew McCarty

  • Physical Therapist
  • Grand Island, NE
National Provider Identifier
1821448200
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16326 Issued in NC
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P16326NCMDPhysical Therapist
3578NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Seniors Single Specialty CurrentSince Aug 16, 2021 Accepting new patients
Zumbro and Connell, Inc Single Specialty CurrentSince Apr 20, 2018 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.

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.

Verify at the official NPI Registry.