Individual provider Active NPI

Matthew Albert Rogers, PT

  • Orthopedic Physical Therapist
  • Spokane, WA
National Provider Identifier
1912095183
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00008943 Issued in WA
Practice address
2718 E 57TH Ave
Spokane, WA 99223-6605
Phone
(509) 252-2354
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT00008943 WA Primary

Addresses

Primary practice location

2718 E 57TH Ave
Spokane, WA 99223-6605

Mailing address

2718 E 57TH Ave
Spokane, WA 99223-6605
Phone (509) 252-2354

Other practice location 1

1132 E Polston Ave
Post Falls, ID 83854-6045
Phone (208) 777-7800

Other identifiers 3

IdentifierTypeStateIssuer
PT516OtherIDBLUE CROSS OF IDAHO
0211510OtherWAWASHINGTON L & I
000010157485OtherIDREGENCE BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061016000526 ID Practitioner - Physical Therapist in Private Practice 6305842238 Reassigns benefits to 1 organization
I20180904003459 WA Practitioner - Physical Therapist in Private Practice 6305842238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00008943WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonny Physical Therapy, LLC Orthopedic CurrentSince Jul 1, 2017 Accepting new patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Jun 8, 2020 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Jun 8, 2020 Accepting new patients
River City Physical Therapy Orthopedic PastSince Sep 14, 1995 Accepting new patients
Northwest Orthopaedic Specialists PS PastSince May 17, 2020 Accepting new patients

Locations

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

12410 E Sinto Ave
Ste 101
Spokane Valley, WA 99216
Phone (509) 789-2955

12410 E Sinto Ave
Ste 201
Spokane Valley, WA 99216
Phone (509) 928-4334

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16598/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.rogers.1@16598.direct.athenahealth.com

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1912095183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236605",
            "telephone_number": "509-252-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236605",
            "telephone_number": "509-252-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 E Polston Ave",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838546045",
            "country_code": "US",
            "telephone_number": "208-777-7800",
            "fax_number": "208-777-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MATTHEW",
        "middle_name": "ALBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00008943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "PT516",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L & I",
            "identifier": "0211510",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010157485",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.