Dylan Mathews

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4622 Issued in AR

Practice address

925 N Washington St
Forrest City, AR 72335-2824

Phone

(870) 270-5461

NPI assigned

Dec 13, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kah Development 4, LLC

  • Home Health Agency
  • Forrest City, AR
  • NPI 1356793467
  NPD (past)
• State of Arkansas

  • Home Health Agency
  • Harrison, AR
  • NPI 1235150087
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1033926019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352824",
            "telephone_number": "870-270-5461",
            "fax_number": "870-630-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352824",
            "telephone_number": "870-270-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA4622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynch-Sparkman
• Cammie Mallard, RN
• Marathon Health, Inc.
• Kaylee Marple
• Rodneysha Martin, PA
• Hipolito D. Matos, MD
• Sharon McClellan
• Anne Rose McCord, COTA/L
• Katrice McCoy, CASE MANAGER
• Mary McCullough, BSN, RN

• Physical Therapy Assistant in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.