Individual provider Active NPI

Matthew James Biegler Jr., DPT

  • Physical Therapist
  • South Daytona, FL
National Provider Identifier
1063990570
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33594 Issued in FL
Practice address
401 Venture Dr Ste C
South Daytona, FL 32119-3475
Phone
(386) 763-0084
NPI assigned
Aug 6, 2018
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 PT33594 FL Primary

Addresses

Primary practice location

401 Venture Dr Ste C
South Daytona, FL 32119-3475

Mailing address

401 Venture Dr Ste C
South Daytona, FL 32119-3475
Phone (386) 763-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33594FLMDPhysical Therapist

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1063990570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 VENTURE DR STE C",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193475",
            "telephone_number": "386-763-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VENTURE DR STE C",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193475",
            "telephone_number": "386-763-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEGLER",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.