Matthew Bradley Hennings, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6457 Issued in OR

Practice address

1100 Liberty St SE Ste 100
Salem, OR 97302-5385

Phone

(503) 500-5727

NPI assigned

Jul 23, 2010

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

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.

• Leading Edge Physical Therapy

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1982313995

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Central Florida Sports & Physical Therapy LLC

  • Physical Therapist
  • Saint Cloud, FL
  • NPI 1205172947
  NPD (past)
• Henkat, Inc

  dba Central Florida Sports & Physical Therapy

  • Physical Therapist
  • Saint Cloud, FL
  • NPI 1447311949
  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1841503422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LIBERTY ST SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025385",
            "telephone_number": "503-500-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LIBERTY ST SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025385",
            "telephone_number": "503-500-5727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5477 Bellflower St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973061648",
            "country_code": "US",
            "telephone_number": "503-500-5727",
            "fax_number": "971-273-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNINGS",
        "first_name": "MATTHEW",
        "middle_name": "BRADLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Eileen Henery, PA-C
• Joseph Martin Henlin, QMHA
• Arnella C Hennig, M.D.
• Sarah Henning, LCSW
• Bill Lee Hennings, PH.D.
• Gloria Lynne Henricks, MA
• Lori Renae Henry
• Zachary Henry, PA-C
• Brett James Hensley, MOT
• Chelsea Henthorn

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.