Individual provider Active NPI

Matthew Scott Berliner

  • Orthopedic Physical Therapist
  • Penfield, NY
National Provider Identifier
1922313790
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
036182 Issued in NY
Practice address
2064 Fairport Nine Mile Point Rd
Penfield, NY 14526-1750
Phone
(585) 851-0700
NPI assigned
Aug 17, 2010
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 036182 NY Primary

Addresses

Primary practice location

2064 Fairport Nine Mile Point Rd
Penfield, NY 14526-1750

Mailing address

2064 Fairport Nine Mile Point Rd
Penfield, NY 14526-1750
Phone (585) 851-0700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
036182NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
585 Physical Therapy PLLC Current Accepting new patients

Organizations & group practices 1

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1922313790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 FAIRPORT NINE MILE POINT RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261750",
            "telephone_number": "585-851-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 FAIRPORT NINE MILE POINT RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261750",
            "telephone_number": "585-851-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLINER",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "036182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.