Matthew Duncan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13170 Issued in NC

Practice address

3960 Seaton Rd
Winston Salem, NC 27104-1510

Phone

(336) 397-0163

Fax

(336) 397-0161

NPI assigned

Jun 27, 2011

Last updated

Jun 27, 2011By the provider in NPPES

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Brody School of Medicine at East Carolina University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Orthopedic and Sports Physical Therapy P aGroup PAC ID 7810069127, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Orthopedic and Sports Physical Therapy P a

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1114001377
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1871889931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 SEATON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 SEATON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041510",
            "telephone_number": "336-397-0163",
            "fax_number": "336-397-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asajah Duncan, PHARMD
• Avery Michael Duncan, MD
• Berttina Labritte Duncan, LCSW
• David Allen Duncan, MD
• Kyle James Duncan
• Matthew Hardie Duncan, LCSW, LCAS
• David Thomas Dundee, MD, CMD
• Mary Katherine Dunevant, M.A. CCC-SLP
• Donna Parker Dunlap
• Kashya Dunlap

• Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.