Matthew M Kavanaugh
ORTHOSPORT PHYSICAL THERAPY PC

Address: 333 Route 25a, Suite 240, Rocky Point, NY 11778-8555
Phone: 6318215500

Matthew M Kavanaugh (NPI# 1003958174, PAC ID# 3971561465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1003958174
PAC ID by PECOS 3971561465
Professional Enrollment ID I20041230000258
Full Name Matthew M Kavanaugh
Organization Legal Name ORTHOSPORT PHYSICAL THERAPY PC
Address 333 Route 25a
Suite 240
Rocky Point
NY 11778-8555
Phone Number 6318215500
Gender M
Credential PT
Graduation Year 2000
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 6204885452
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
333 Route 25a, Suite 240, Rocky Point, NY 11778-8555 6318215500 ORTHOSPORT PHYSICAL THERAPY PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_182_1 Functional Outcome Assessment 100%

Organization Information

Organization Legal Name ORTHOSPORT PHYSICAL THERAPY PC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Anthony L Derosa Physical Therapy Orthosport Physical Therapy PC 333 Route 25a, Suite 240, Rocky Point, NY 11778-8555

Office Location

Street Address 333 ROUTE 25A
SUITE 240
City ROCKY POINT
State NY
Zip 11778-8555

Physicians in the same location

Name Specialty Organization Address
Anthony L Derosa Physical Therapy Orthosport Physical Therapy PC 333 Route 25a, Suite 240, Rocky Point, NY 11778-8555
John Gil Family Practice 333 Route 25a, Suite 40, Rocky Point, NY 11778-8569

Physicians in the same zip code

Name Specialty Organization Address
Donna Detura Clinical Social Worker 701 Route 25a 2, Rocky Point, NY 11778
Daniel Kormylo Podiatry 745 Route 25a B, Box 5153, Rocky Point, NY 11778-0969
Lara Borg Occupational Therapy Metro Occupational and Physical Therapy, Pllc 745 Route 25a, Rocky Point, NY 11778-6603
Charles Greco Clinical Social Worker 586 Route 25a, Rocky Point, NY 11778-7006
David A Gentile Osteopathic Manipulative Medicine 797 Route 25a, Rocky Point, NY 11778-8562
Anthony K Bolton Clinical Psychologist 170 Route 25a, Rocky Point, NY 11778-8750
David J Stern Physical Therapy 532 Route 25a, Rocky Point, NY 11778-8759
John J De Trolio Emergency Medicine City Medical of Upper East Side Pllc 47 Route 25a, Rocky Point, NY 11778-8846
Ronni L Sollazzo Emergency Medicine City Medical of Upper East Side Pllc 47 Route 25a, Rocky Point, NY 11778-8846
John Edward Hunt Emergency Medicine City Medical of Upper East Side Pllc 47 Route 25a, Rocky Point, NY 11778-8846
Find all physicians in zip 11778

Competitor

Search similar physicians

City ROCKY POINT
Zip Code 11778
Specialty PHYSICAL THERAPY
City + Specialty ROCKY POINT + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.