Matthew Smelas, P.T.,OCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00699900 Issued in NJ

Practice address

325 Maple Ave
Crest Physical Therapy
Red Bank, NJ 07701-2104

Phone

(732) 741-1119

Fax

(732) 741-1119

NPI assigned

May 17, 2007

Last updated

Dec 29, 2009By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers New Jersey Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 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.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment Care Compare group NPD
• Somdocs

  • Family Medicine Physician
  • Somerville, NJ
  • NPI 1508390832
  Medicare reassignment NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1922215870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 VIRGINIA TER",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAPLE AVE",
            "address_2": "CREST PHYSICAL THERAPY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012104",
            "telephone_number": "732-741-1119",
            "fax_number": "732-741-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELAS",
        "first_name": "MATTHEW",
        "credential": "P.T.,OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00699900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P00770517",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P00770512",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Simmons-Alling, APRN
• Joseph T. Simone, FNP-C
• Kelsey M Simonson, MS, OTR/L
• Christene Sisti, P.T.
• Susan B Small, MSW LCSW
• Cecelia M Smith, FNP-BC
• Corey Nicole Smith
• Maggie Smith, MFT
• Vera Grunow Smith, L.C.S.W
• Victoria Ann Smith, LCSW

• Physical Therapist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.