Matthew John Johnson, PT, DPT, LAT, ATC
NPI 1487058582ActiveIndividual· Physical Therapist· Greenlawn, NY
Physical Therapist (PT, DPT, LAT, ATC) in Greenlawn, New York, licensed in PA, with an NPI issued in October 2014.
Overview
| NPI | 1487058582 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, LAT, ATC |
| Sole proprietor | Yes |
| NPI issued | Oct 17, 2014 |
| Last updated in NPPES | Apr 9, 2021 |
| Certified by provider | Apr 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT029253 | PA |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | RT007692 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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