MATTHEW O'CONNOR (PT) – Physical Therapist, NPI 1336393917

MATTHEW O'CONNOR (PT) is a healthcare provider. based in Freeport, Maine. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT3496 (ME). The NPI Number for MATTHEW O'CONNOR (PT) is 1336393917

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW O'CONNOR (PT)
NPI
1336393917
Phone
(207) 442-0325
Address
45 MALLETT DR
Enumeration Date
10 November 2008
Last Update Date
9 April 2012

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
2074420332
Graduation Year
2008 (18 years ago)
PAC ID
2466580089
Group Practice PAC ID
1355393547
Professional Enrollment ID
I20100503000067
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for MATTHEW O'CONNOR (PT)

  • 45 MALLETT DR

    FREEPORT, ME 040321312

    Phone: (207) 442-0325

    Fax: (207) 443-4578

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100503000067IPhysical Therapist In Private PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes29929$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29927$0
97150Therapy procedure in a group setting25131$0
97530Therapy procedure using functional activities16222$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11225$0
View full utilization report →

Insurance plans in this area (ZIP 04032)

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Provider's Procedures

MATTHEW O'CONNOR (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYME97001Physical therapy evaluation4132
PHYSICAL THERAPYME97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes50338

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355393547View full group profile
NameSpecialtyState
-ME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
-ME
-ME

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Frequently asked questions

What NPI should I save for MATTHEW O'CONNOR (PT)?
Save NPI 1336393917 if you need a stable reference for MATTHEW O'CONNOR (PT).
Is MATTHEW O'CONNOR (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MATTHEW O'CONNOR (PT)?
The page reflects Physical Therapist for MATTHEW O'CONNOR (PT). Clinical services aligned with this taxonomy classification.
What location shows for MATTHEW O'CONNOR (PT)?
We surface Freeport, Maine for MATTHEW O'CONNOR (PT) based on available NPPES addresses.
Is MATTHEW O'CONNOR (PT) a real provider?
This page reflects official NPPES data for NPI 1336393917. Always confirm identity and privileges with the practice and licensing boards.

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