Individual provider Active NPI

Merryn K Mathew, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1013428077
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32948 Issued in FL
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

Updated by the provider on Jun 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180112002279 FL Practitioner - Physical Therapist in Private Practice 1052670395 Reassigns benefits to 1 organization

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
Lampert'S Home Therapy IncGroup PAC ID 5597659516, 15 clinicians

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

LicenseStateTypeSpecialty
PT32948FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lampert'S Home Therapy, Inc. CurrentSince Aug 13, 2021 Accepting new patients
Kando Rehab LLC Physical Therapist CurrentSince Jun 26, 2022 Accepting new patients
Focal Point Therapy, LLC PastSince Feb 21, 2021 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.

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.

Verify at the official NPI Registry.