Active NPI
Teresa York Matthews, OTR
- Physical Medicine & Rehabilitation Physician
- Centennial, CO
National Provider Identifier
1932425444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 810
- Practice address
- 7200 S Alton Way
Ste C 250
Centennial, CO 80112-2201 - Phone
- (720) 489-0790
- NPI assigned
- Apr 9, 2010
- Sex
- Female
- 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 Medicine & Rehabilitation Physician | 208100000X | 810 | CO | Primary |
Addresses
Primary practice location
7200 S Alton Way
Ste C 250
Centennial, CO 80112-2201
Mailing address
9298 Ute Dr
Golden, CO 80403-8365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810 | Other | CO | COLORADO LICENSE |
| 002201 | Other | NBCOT |
Other names 1
- Tracy York Matthews
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1932425444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9298 UTE DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804038365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 S ALTON WAY",
"address_2": "STE C 250",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122201",
"telephone_number": "720-489-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "TERESA",
"middle_name": "YORK",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENSE",
"identifier": "810",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "002201",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "MATTHEWS",
"middle_name": "YORK",
"credential": "OTR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.