Individual provider Active NPI

Matthew Bernier, MPT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1861414401
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203024 Issued in VA
Practice address
2922 Telestar CT
Falls Church, VA 22042-1206
Phone
(703) 769-8420
Fax
(703) 553-8647
NPI assigned
Jul 24, 2006
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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 2305203024 VA Primary

Addresses

Primary practice location

2922 Telestar CT
Falls Church, VA 22042-1206

Mailing address

2922 Telestar CT
Falls Church, VA 22042-1206
Phone (703) 769-8420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000252 DC Practitioner - Physical Therapist in Private Practice 5193701282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2922 Telestar CT
Falls Church, VA 22042-1206
Phone (703) 584-2040

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203024VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2013 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

2922 Telestar Ct
Falls Church, VA 22042
Phone (703) 584-2040

Organizations & group practices 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1861414401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 TELESTAR CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421206",
            "telephone_number": "703-769-8420",
            "fax_number": "703-553-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 TELESTAR CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421206",
            "telephone_number": "703-769-8420",
            "fax_number": "703-553-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNIER",
        "first_name": "MATTHEW",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.