Individual provider Active NPI

Matthew Douglas Stone, PT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1871773465
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07324 Issued in LA
Practice address
8080 Bluebonnet Blvd
Suite 110
Baton Rouge, LA 70810-7827
Phone
(225) 408-7990
NPI assigned
Nov 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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 07324 LA Primary

Addresses

Primary practice location

8080 Bluebonnet Blvd
Suite 110
Baton Rouge, LA 70810-7827

Mailing address

8080 Bluebonnet Blvd
Suite 110
Baton Rouge, LA 70810-7827
Phone (225) 408-7990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000477 LA Practitioner - Physical Therapist in Private Practice 0648359380 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moreau Physical Therapy Inc. Physical Therapist CurrentSince May 11, 2022 Accepting new patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Physical Therapist CurrentSince May 11, 2022 Accepting new patients
Center for Innovations in Evaluative Medicine, LLC CurrentSince May 1, 2022 Accepting new patients
Baton Rouge Orthopaedic Clinic Past Accepting new patients
Baton Rouge Orthopaedic Clinic, LLC Physical Therapist Past Accepting new patients

Locations

9373 Baringer Foreman Rd
Bldg 2
Baton Rouge, LA 70817
Phone (225) 304-4749

11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021

4324 S Sherwood Frst
Ste B170
Baton Rouge, LA 70816

18303 Perkins Rd E
Ste 407
Baton Rouge, LA 70810
Phone (225) 751-8512

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1871773465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-408-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-408-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.