JAMES MATSON (NPI# 1194363747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194363747 |
| Entity Type | Individual |
| Full Name | JAMES MATSON |
| Credential | PT, DPT |
| Practice Address |
4450 48th Avenue Ct Rock Island IL 61201-9213 |
| Mailing Address |
909 4th St Orion IL 61273-9633 |
| Practice Telephone | 3095580145 |
| Mailing Telephone | 3093733986 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
094804 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538619937 | James Alan Matson | Counselor | 825 E Speer Blvd Ste 220, Denver, CO 80218-3719 | 2016-10-10 |
| 1275592909 | James N. Matson | Optometrist | Petersburg Medical Center, Petersburg, AK 99833 | 2006-03-21 |
| 1609402536 | James Matson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-03-23 |
| 1568957736 | James Clayton Matson | Physical Therapist | 3601 Fremont Ave N Ste 414, Seattle, WA 98103-8753 | 2018-06-28 |
| 1912042623 | James Allen Matson | Social Worker | 9100 Southwest Fwy, Suite 225, Houston, TX 77074-1519 | 2007-02-20 |
| 1760487300 | James R Matson | Pediatrics | 7777 Forest Ln, D569, Dallas, TX 75230 | 2005-06-20 |
| Street Address |
4450 48TH AVENUE CT |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-9213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192415 | Kerry M Mccracken | Occupational Therapist | 4450 48th Avenue Ct, Rock Island, IL 61201-9213 | 2017-02-10 |
| 1043827751 | Kaitlin Ann Yorde | Speech-Language Pathologist | 4450 48th Avenue Ct, Rock Island, IL 61201-9213 | 2020-09-26 |
| 1396365904 | Rachel Bullock | Speech-Language Pathologist | 4450 48th Avenue Ct, Rock Island, IL 61201-9213 | 2020-04-23 |
| 1891211348 | Stephanie Lynn Phares | Occupational Therapist | 4450 48th Avenue Ct, Rock Island, IL 61201-9213 | 2017-08-16 |
| 1508397589 | Margaret Jean Verdun | Occupational Therapist | 4450 48th Avenue Ct, Rock Island, IL 61201-9213 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063544401 | Starved Rock Regional Center for Therapy & Child Development | Physical Medicine & Rehabilitation | 1013 Adams Street, Ottawa, IL 61354-4304 | 2007-03-12 |
| 1316094097 | Francesca Jeanne Knedlhans | Physical Medicine & Rehabilitation | 138 S Crest Ave, Bartlett, Bartlett, IL 60103-4213 | 2007-01-04 |
| 1831246560 | Yesenia Rivera | Physical Medicine & Rehabilitation | 1129 N Homan Ave, Chicago, IL 60651-4008 | 2007-01-04 |
| 1346306172 | Aimee Sevier | Physical Medicine & Rehabilitation | 512 Chicago Ave, Downers Grove, IL 60515-3811 | 2006-12-28 |
| 1871140863 | Jasmine Simon | Physical Medicine & Rehabilitation | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2019-08-23 |
| 1376190611 | Paige Bordy | Physical Medicine & Rehabilitation | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2019-08-21 |
| 1457833758 | Carolyn Stoesser | Physical Medicine & Rehabilitation | 310 N Loomis St, Chicago, IL 60607-1147 | 2018-09-04 |
| 1174938591 | Maria Gabriela Martinez | Physical Medicine & Rehabilitation | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2014-06-24 |
| 1275818452 | Emily O'connor | Physical Medicine & Rehabilitation | 2901 Finley Rd, Suite 101, Downers Grove, IL 60515-1041 | 2011-10-19 |
| 1376821298 | Nicole Scott Sauer | Physical Medicine & Rehabilitation | 2901 Finley Rd, Suite 101, Downers Grove, IL 60515-1041 | 2011-07-26 |
| Find all providers with the same taxonomy | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
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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.