Active NPI
Merryn K Mathew, DPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1013428077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32948
- Practice address
- 777 N Ashley Dr Unit 3209
Tampa, FL 33602-4387 - Phone
- (813) 541-1872
- Fax
- (813) 441-8121
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32948 | FL | Primary |
Addresses
Primary practice location
777 N Ashley Dr Unit 3209
Tampa, FL 33602-4387
Mailing address
2636 Gallagher Rd
Dover, FL 33527-5304
Phone (813) 541-1872
Other practice location 1
2636 Gallagher Rd
Dover, FL 33527-5304
Phone (813) 541-1872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8254 118TH Ave N
Suite 100
Largo, FL 33773-5027
Phone (727) 541-5304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32948 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lampert'S Home Therapy, Inc. | Current | Accepting new patients | |
| Kando Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Focal Point Therapy, LLC | Past | Accepting new patients |
Locations
8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Largo, FL
- NPI 1265441810
-
- Physical Therapist
- Tampa, FL
- NPI 1750955985
-
- Physical Rehabilitation Occupational Therapist
- Tampa, FL
- NPI 1912590027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1013428077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2636 GALLAGHER RD",
"city": "DOVER",
"state": "FL",
"postal_code": "335275304",
"telephone_number": "813-541-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N ASHLEY DR UNIT 3209",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024387",
"telephone_number": "813-541-1872",
"fax_number": "813-441-8121"
}
],
"practiceLocations": [
{
"address_1": "2636 Gallagher Rd",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "FL",
"postal_code": "335275304",
"country_code": "US",
"telephone_number": "813-541-1872",
"fax_number": "813-441-8121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEW",
"first_name": "MERRYN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.