DR. MATTHEW THOMAS CARLSON (NPI# 1073640413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073640413 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW THOMAS CARLSON |
| Credential | DPT, OCS, COMT |
| Practice Address |
9826 S Western Ave Evergreen Park IL 60805-3200 |
| Mailing Address |
3055 Roslyn St Denver CO 80238-3323 |
| Practice Telephone | 7089528220 |
| Practice Fax Number | 7084235281 |
| Mailing Telephone | 7208480000 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 70012540 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821406133 | Matthew Felix Carlson | Specialist/Technologist | Rollins College, 1000 Holt Ave-2730, Winter Park, FL 32789 | 2014-07-30 |
| 1457637910 | Matthew Hunter Carlson | Naturopath | 6253 1/2 3rd Ave Nw, Seattle, WA 98107-2106 | 2011-10-28 |
| 1972798015 | Matthew E Carlson | Dentist | 130 S 15th St Ste 101, North Sound Endodontcs, Mount Vernon, WA 98274-4569 | 2007-09-12 |
| 1588168678 | Matthew D Carlson | Counselor | 4320 Diplomacy Dr Ste 3121, Anchorage, AK 99508-5925 | 2018-03-22 |
| 1023362613 | Matthew William Carlson | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2012-11-03 |
| 1265799027 | Matthew David Carlson | Optometrist | 2501 N 45th St, Seattle, WA 98103-6909 | 2012-04-18 |
| 1982978672 | Matthew Herrick Carlson | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2012-02-28 |
| 1346561172 | Matthew Paul Carlson | Family Medicine | 1050 W Elm Ave Ste 110, Hermiston, OR 97838-2713 | 2010-06-16 |
| 1558689133 | Matthew Carlson | Surgery | 2800 Main St, St. Vincent's Medical Center; Department of Surgery, Bridgeport, CT 06606-4201 | 2010-05-06 |
| 1992028583 | Matthew J Carlson | Specialist/Technologist | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2010-03-10 |
| Street Address |
9826 S WESTERN AVE |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992126676 | Katherine Hillen | Physical Therapist | 9826 S Western Ave, Evergreen Park, IL 60805 | 2013-12-23 |
| 1598066862 | Bertina Thomas | Physical Therapy Assistant | 9826 S Western Ave, Evergreen Park, IL 60805-3200 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225432479 | Karen Leanne Nicol | Physical Therapist | 3849 W 95th St, Evergreen Park, IL 60805-2020 | 2014-10-17 |
| 1831798388 | Jerenda Bond | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-25 |
| 1508464876 | Laura Stecich | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-09 |
| 1831797109 | Donnika Lynn Jones-hamlin | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-09 |
| 1831796135 | Carla Graciela Joiner | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-08 |
| 1598372260 | Judy A Sonichsen | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-09-28 |
| 1679180152 | Charmaine Boncalon Espiritu | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-09-28 |
| 1710597059 | Timothy K Mcginnis | Physical Therapist | 9834 S Hamlin Ave, Evergreen Park, IL 60805-3363 | 2020-08-02 |
| 1407417975 | Molly Margaret Rusnak | Physical Therapist | 2940 W 95th St, Evergreen Park, IL 60805-2408 | 2019-06-25 |
| 1487212536 | Mohamad Ahmed Hassan | Physical Therapist | 3900 W 95th St, Evergreen Park, IL 60805-1922 | 2019-06-04 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.