Individual provider Active NPI

Matthew Vassalotti, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1023670809
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032338 Issued in PA
Practice address
4005 Ludlow St
Philadelphia, PA 19104-5826
Phone
(267) 529-0050
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X DE
Physical Therapist 225100000X
Physical Therapist 225100000X PT032338 PA Primary

Addresses

Primary practice location

4005 Ludlow St
Philadelphia, PA 19104-5826

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

10355 N La Canada Dr Ste 125
Oro Valley, AZ 85737-7307
Phone (520) 822-8640

Other practice location 2

1288 S Governors Ave
Dover, DE 19904-4802
Phone (302) 677-0100

Other practice location 3

175 Route 70
Medford, NJ 08055-2300
Phone (609) 714-3378

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL webpt

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, AZ, PA, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190826000065 NJ Practitioner - Physical Therapist in Private Practice 4880922194 Reassigns benefits to 2 organizations
I20230929002612 AZ Practitioner - Physical Therapist in Private Practice 4880922194 Reassigns benefits to 1 organization
I20240711002763 PA Practitioner - Physical Therapist in Private Practice 4880922194 Reassigns benefits to 3 organizations
I20251111001942 CA Practitioner - Physical Therapist in Private Practice 4880922194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT032338PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipta Clinical, LLC Physical Therapist CurrentSince Jul 15, 2019 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC Physical Therapist CurrentSince Feb 23, 2025 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 6, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jun 6, 2024 Accepting new patients
Ideal Rehabilitation LLC PastSince Aug 21, 2023 Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

175 Route 70
Medford, NJ 08055
Phone (609) 953-7692

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

4005 Ludlow St
Philadelphia, PA 19104
Phone (267) 529-0050

Organizations & group practices 10

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1023670809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 LUDLOW ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045826",
            "telephone_number": "267-529-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10355 N La Canada Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857377307",
            "country_code": "US",
            "telephone_number": "520-822-8640",
            "fax_number": "520-822-8641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1288 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044802",
            "country_code": "US",
            "telephone_number": "302-677-0100",
            "fax_number": "302-677-0267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Route 70",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552300",
            "country_code": "US",
            "telephone_number": "609-714-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASSALOTTI",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "webpt",
            "affiliation": "N",
            "address_1": "175 Route 70",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.