Matthew S Douglas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1176 Issued in ME

Practice address

50 Forest Falls Dr
Suite 2
Yarmouth, ME 04096-6937

Phone

(207) 846-8725

Fax

(207) 846-8728

NPI assigned

Mar 9, 2006

Last updated

Jul 8, 2007By 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 3

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Riverview Physical Therapy Limited PartnershipGroup PAC ID 2769393586, 58 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.

• Riverview Physical Therapy Limited Partnership

  • Physical Therapist
  • Portland, ME
  • NPI 1194396747
  Medicare reassignment Care Compare group NPD
• Riverview Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1881784429

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982672671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOREST FALLS DRIVE",
            "address_2": "SUITE 2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "04096",
            "telephone_number": "207-846-8725",
            "fax_number": "207-846-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOREST FALLS DR",
            "address_2": "SUITE 2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966937",
            "telephone_number": "207-846-8725",
            "fax_number": "207-846-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "060023",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2756063001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626281",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathleen M. Dimarzio, LCPC
• Jacqueline Diane Dimick, MED, LCPC
• Dirigo Pediatric Dentistry
• Nancy A. Dix, MSW
• Andrea Donovan
• Lynda A Doyle, EDD CLINICAL COUNSEL
• Dr Susan J Cook PA
• Edith T. Dubord, LCSW, LADC
• Mary Edgerton, MOTR/L
• Kimberly Ann Egberts, M.S.CCC-SLP

• Physical Therapist in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.