CMS-1500 Box 24J / 33a • NPI
1013757764
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
4229 W FRONTAGE RD N, ROCHESTER, MN, 55901-4310
✓ 9-Digit EDI 837 ZIP+4 (55901-4310)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013757764 (JOSHUA MATTISON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1013757764)
Medicare Beneficiaries
56
Total Billed Services
1,072
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$29,021.43
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 269 |
97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 141 |
97140 | Therapy procedure using manual technique, each 15 minutes | 499 |
97161 | Evaluation for physical therapy, typically 20 minutes | 34 |
97530 | Therapy procedure using functional activities | 69 |
97535 | Training for self-care or home management, each 15 minutes | 23 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013757764 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JOSHUA MATTISON |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4229 W FRONTAGE RD N, ROCHESTER, MN, 55901-4310 |
| Practice Telephone / Fax | Tel: (507) 322-3460 |
| Administrative Mailing Address | 3100 19TH ST NW STE 200, ROCHESTER, MN, 55901-6606 |
| Enumeration & Last Sync | Enumerated: 2024-05-30 | CMS Record Updated: 2024-12-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JOSHUA MATTISON)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: MN | License: 13468 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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