Individual provider Active NPI

Matthew W Geary, PT

  • Physical Therapist
  • Center Conway, NH
National Provider Identifier
1912168204
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3780 Issued in NH
Practice address
63 Mill St
Center Conway, NH 03813-4407
Phone
(207) 712-4933
NPI assigned
Jun 19, 2008
Last updated
Nov 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3422 ME
Physical Therapist 225100000X 3780 NH Primary

Addresses

Primary practice location

63 Mill St
Center Conway, NH 03813-4407

Mailing address

PO Box 2
Center Conway, NH 03813-0002
Phone (207) 712-4933

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

LicenseStateTypeSpecialty
PT3422MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Center Physical Therapy & Sports Rehab Inc Physical Therapist CurrentSince Jul 5, 2013 Accepting new patients
Slopeside Physical Therapy Past Accepting new patients

Locations

37 Main St
Conway, NH 03818
Phone (603) 447-2533

15 US Route 302
#2
Glen, NH 03838
Phone (603) 383-7009

Organizations & group practices 2

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1912168204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038130002",
            "telephone_number": "207-712-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MILL ST",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134407",
            "telephone_number": "207-712-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3422",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.