Individual provider Active NPI

Matthew Mark Obermeyer, PT, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1982255949
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
147516 Issued in AK
Practice address
3890 University Lake Dr Ste 110
Anchorage, AK 99508-4669
Phone
(907) 562-2277
NPI assigned
Sep 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 147516 AK Primary

Addresses

Primary practice location

3890 University Lake Dr Ste 110
Anchorage, AK 99508-4669

Mailing address

3000 Dartmouth Dr
Anchorage, AK 99508-4413
Phone (907) 278-9455

Other practice location 1

1700 E Bogard Rd # 102
Wasilla, AK 99654-6563
Phone (907) 357-2267

Other practice location 2

3801 Lake Otis Pkwy
Anchorage, AK 99508-5234
Phone (907) 562-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191028001683 AK Practitioner - Physical Therapist in Private Practice 3779815535 Reassigns benefits to 1 organization
I20250314000333 TX Practitioner - Physical Therapist in Private Practice 3779815535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
52.97
Promoting interoperability
88
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Jan 9, 2025 Accepting new patients
Orthoalaska, LLC Physical Therapist CurrentSince Sep 23, 2019 Accepting new patients
Orthoalaska LLC CurrentSince Sep 23, 2019 Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients
Orthoalaska, LLC Past Accepting new patients

Locations

3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

3890 University Lake Dr
Ste 110
Anchorage, AK 99508
Phone (907) 249-5542

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

Interoperability endpoints

  • Direct secure messaging: matthew.obermeyer.p1@direct.opaak.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1982255949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 DARTMOUTH DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084413",
            "telephone_number": "907-278-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 UNIVERSITY LAKE DR STE 110",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084669",
            "telephone_number": "907-562-2277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Bogard Rd # 102",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996546563",
            "country_code": "US",
            "telephone_number": "907-357-2267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Lake Otis Pkwy",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085234",
            "country_code": "US",
            "telephone_number": "907-562-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERMEYER",
        "first_name": "MATTHEW",
        "middle_name": "MARK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-21",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "147516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.