Active NPI
Matthew Edward Podhaiski, M.S.P.T.
- Physical Therapist
- Poughkeepsie, NY
National Provider Identifier
1902940281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025176
- Practice address
- 1910 South Rd
Poughkeepsie, NY 12601-6027 - Phone
- (845) 454-0120
- Fax
- (845) 454-8454
- NPI assigned
- Feb 19, 2007
- Last updated
- Feb 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025176 | NY | Primary |
Addresses
Primary practice location
1910 South Rd
Poughkeepsie, NY 12601-6027
Mailing address
1910 South Rd
Poughkeepsie, NY 12601-6027
Phone (845) 454-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025176 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1902940281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 SOUTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126016027",
"telephone_number": "845-454-0120",
"fax_number": "845-454-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 SOUTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126016027",
"telephone_number": "845-454-0120",
"fax_number": "845-454-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODHAISKI",
"first_name": "MATTHEW",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
- Planned Parenthood Mid-Hudson Valley
- Planned Parenthood of Mid Hudson Valley
- Planned Parenthood of the Mid Hudson Valley
- Planned Parenthood of the Mid Hudson Valley
- Carl Philippe Pluviose
- Alicia Marie Pointer, D.O.
- Saul Polenberg, O.D.
- Janice M Poley, N.P.
- Benjamin Cosmo Policriti, PHARMD
- Kenneth M Pollock, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.