Matthew Michaud, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3182 Issued in ME

Practice address

110 E Main St
Fort Kent, ME 04743-1407

Phone

(207) 834-4117

Fax

(207) 834-3829

NPI assigned

Sep 6, 2006

Last updated

Jun 14, 2016By 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

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County Physical Therapy LLCGroup PAC ID 3779520242, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• County Physical Therapy, LLC

  • Physical Therapist
  • Caribou, ME
  • NPI 1386686616
  Medicare reassignment Care Compare group NPD
• Northern Maine Medical Center

  dba St John Valley Pharmacy

  • Community/Retail Pharmacy
  • Fort Kent, ME
  • NPI 1952303422
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1942303136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431407",
            "telephone_number": "207-834-4117",
            "fax_number": "207-834-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431407",
            "telephone_number": "207-834-4117",
            "fax_number": "207-834-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Joshua Mayich, MD, FAAOS
• Paul H. McBreairty, MD
• Connie L. McLellan, R.D., L.D.
• Michael a. Nissenbaum, MD, PA
• Ellen Elizabeth Michalowski, MD
• Monique Emma Michaud, RN
• Rebecca Michaud, RN-BSN
• Sara Kay Michaud, MS, LATC
• Stephanie Lynne Michaud, FNP-C
• Mill Bridge Dental PC

• Physical Therapist in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.