Active NPI
Mathew Albert McGillivray
- Physical Medicine & Rehabilitation Physician
- Plantation, FL
National Provider Identifier
1023768660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME183198
- Practice address
- 1228 S Pine Island Rd Ste 320
Plantation, FL 33324-4583 - Phone
- (786) 596-3876
- Fax
- (786) 533-9989
- NPI assigned
- Mar 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | ME183198 | FL | Primary |
Addresses
Primary practice location
1228 S Pine Island Rd Ste 320
Plantation, FL 33324-4583
Mailing address
PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 662-7980
Other practice location 1
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 844-1404
Other practice location 2
8950 N Kendall Dr Ste 104W
Miami, FL 33176-2131
Phone (786) 596-3876
Other names 1
- Matthew McGillivray
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220614001114 | FL | Order and Referring Only - Physical Medicine and Rehabilitation | 9537548078 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1023768660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198054",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848054",
"telephone_number": "786-662-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 S PINE ISLAND RD STE 320",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333244583",
"telephone_number": "786-596-3876",
"fax_number": "786-533-9989"
}
],
"practiceLocations": [
{
"address_1": "703 N Flamingo Rd",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281006",
"country_code": "US",
"telephone_number": "954-844-1404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8950 N Kendall Dr Ste 104W",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331762131",
"country_code": "US",
"telephone_number": "786-596-3876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGILLIVRAY",
"first_name": "MATHEW",
"middle_name": "ALBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-26",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME183198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "MCGILLIVRAY",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.