Matthew Vidal Fernandez, PT
NPI 1851001077ActiveIndividual· Physical Therapist· Aztec, NM
Physical Therapist (PT) with Physical Therapy and Sports Medicine of Northern New Mexico, Inc., practicing in Aztec, New Mexico. Medicare paid $47,259 for services to 96 patients in 2024.
Overview
| NPI | 1851001077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Nov 29, 2022 |
| Last updated in NPPES | Nov 29, 2022 |
| Certified by provider | Nov 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT22009 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 2,550 across 9 procedure codes |
| Paid by Medicare | $47,259 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Physical Therapy and Sports Medicine of Northern New Mexico, Inc.Aztec, NM · 3 clinicians
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