MIKAYLA MATOS DPT
NPI 1255258455
Physical Therapist in Pawtucket, RI

Active since June 30, 2026Accepts Medicare Assignment
21 DIVISION ST, PAWTUCKET, RI 02860(401) 226-0545(401) 721-5214 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mikayla Matos Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKAYLA MATOS DPT (NPI 1255258455) is an individual physical therapist in Pawtucket, Rhode Island, licensed in Rhode Island (PT04142) and active in the NPI registry since June 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1255258455
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMIKAYLA MATOSCredential: DPT
Location Address21 DIVISION STPawtucket, RI 02860-5352
Mailing Address4 Richmond SqProvidence, RI 02906-5117 · (401) 433-4172 · Fax (401) 433-6012
Fax(401) 721-5214
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1255258455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in RI · PT04142
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
21 DIVISION ST, Pawtucket, RI 02860

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikayla Matos Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395200547
PECOS Enrollment IDI20260720000113

Medicare Billing Reassignment

Medicare enrollment records show Mikayla Matos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
4 RICHMOND SQ
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 174 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Family Medicine
21 DIVISION ST
PAWTUCKET, RI 02860
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikayla Matos's NPI number?

The NPI number for Mikayla Matos is 1255258455. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Mikayla Matos located?

Mikayla Matos practices at 21 Division St, Pawtucket, RI 02860. The listed phone number is (401) 226-0545.

What is Mikayla Matos's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mikayla Matos enrolled in Medicare?

Yes. Mikayla Matos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mikayla Matos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikayla Matos reassigns Medicare benefits to Silver Fern Practice, LLC (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mikayla Matos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mikayla Matos was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.