Active NPI
Matthew Allen Cuomo, DPT
- Physical Therapist
- Montrose, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030157
- Practice address
- 417 Grow Ave
Montrose, PA 18801-1105 - Phone
- (570) 278-1101
- NPI assigned
- Nov 30, 2021
- Last updated
- Feb 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT030157 | PA | Primary |
Addresses
Primary practice location
417 Grow Ave
Montrose, PA 18801-1105
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT030157 | Other | PA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 Grow Ave
Montrose, PA 18801-1105
Phone (570) 278-1101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT030157 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Physical Therapy of Pennsylvania, LLC | Physical Therapist | Current | Accepting new patients |
| Procare Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101
655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142
130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850
25 West St
Tunkhannock, PA 18657
Phone (570) 996-6200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
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- NPI 1881132488
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- Towanda, PA
- NPI 1003876319
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1821756610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 GROW AVE",
"city": "MONTROSE",
"state": "PA",
"postal_code": "188011105",
"telephone_number": "570-278-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUOMO",
"first_name": "MATTHEW",
"middle_name": "ALLEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-30",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT030157",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.