Matthew M Kavanaugh
ORTHOSPORT PHYSICAL THERAPY PC

Address: 333 Route 25a, Suite 240, Rocky Point, NY 117788555
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 117788555
Phone Number 6318215500
Gender M
Credential PT
Medical School OTHER
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
333 Route 25a, 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% Claims

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 117788555

Physicians at 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

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Mayra Cristina Beauchamp Bruno DERMATOLOGY FORSYTH MEMORIAL HOSPITAL INC 175 Kimel Park Dr, Winston Salem, NC 271036951
Kathy Feng AUDIOLOGIST 128 Mott St, Suite 509, New York, NY 100135575

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.