Matthew Simon Godofsky, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT60760877 Issued in WA

Practice address

5620 Rainier Ave S Ste 102
Seattle, WA 98118-2498

Phone

(206) 535-8061

Fax

(206) 535-8064

NPI assigned

Aug 29, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Work Prevention and Physical Therapy IncGroup PAC ID 0446444624, 26 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 and National Provider Directory roles.

• Back to Work Prevention & Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1730491259
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821515875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 RAINIER AVE S STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182498",
            "telephone_number": "206-535-8061",
            "fax_number": "206-535-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 RAINIER AVE S STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182498",
            "telephone_number": "206-535-8061",
            "fax_number": "206-535-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOFSKY",
        "first_name": "MATTHEW",
        "middle_name": "SIMON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60760877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT60760877",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason P Godfrey, DPT
• Fleur Godfried, SLP
• Kevin Godinez
• Tara Godinho
• Tracey Lee Godlewski
• Ashlee M Godwin
• Benjamin David Godwin, M.D.
• Colin Douglas Godwin, M.D.
• Joseph David Godwin II, MD
• Kendra Alana Godwin

• Orthopedic Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.