Individual provider Active NPI

Nicholas Matthews

  • Physical Therapist
  • Carmi, IL
National Provider Identifier
1821820515
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070028484 Issued in IL
Practice address
1706 W Main St
Carmi, IL 62821-2263
Phone
(618) 384-7872
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070028484 IL Primary

Addresses

Primary practice location

1706 W Main St
Carmi, IL 62821-2263

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (726) 202-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241024004079 IL Practitioner - Physical Therapist in Private Practice 0547793853 Reassigns benefits to 2 organizations
I20250227000989 IN Practitioner - Physical Therapist in Private Practice 0547793853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Therapy Services IncGroup PAC ID 0345145843, 17 clinicians

Practice addresses (Care Compare)

54 E Fort St
Farmington, IL 61531-1217
Phone (618) 234-9705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Physical Therapist Current Accepting new patients
Professional Therapy Services, Inc Physical Therapist CurrentSince Aug 28, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Dec 21, 2024 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Physical Therapist CurrentSince Dec 21, 2024 Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Dec 21, 2024 Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients

Locations

2900 Frank Scott Pkwy W
Ste 930
Belleville, IL 62223
Phone (618) 222-9383

1706 W Main St
Carmi, IL 62821
Phone (618) 384-7872

1302 Avenue of Mid America
Ste 4
Effingham, IL 62401
Phone (217) 606-3004

54 E Fort St
Farmington, IL 61531

1813 Broadway Ave
Mattoon, IL 61938
Phone (217) 691-0690

1909 N Morton Ave
Morton, IL 61550
Phone (309) 263-9124

507 W Washington St
Newton, IL 62448
Phone (217) 606-3004

3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001

5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

75 Industrial Park Rd
Ste D
Ferdinand, IN 47532
Phone (502) 882-9379

10294 S 150 E
Haubstadt, IN 47639
Phone (812) 768-5207

8450 Northwest Blvd
Indianapolis, IN 46278

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

1952 S State Road 57
Oakland City, IN 47660
Phone (812) 999-3070

826 N State Road 161
Ste B
Rockport, IN 47635
Phone (812) 627-7007

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 10

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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1821820515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "726-202-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W MAIN ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628212263",
            "telephone_number": "618-384-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmi, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.