Matthew Dexter, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7554 Issued in OH

Practice address

116 East Ave
Suite 2
Tallmadge, OH 44278-2328

Phone

(330) 633-3656

Fax

(330) 633-3505

NPI assigned

Oct 27, 2005

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

Other identifiers 2

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.

• Summit Rehabilitation

  • Physical Therapist
  • Tallmadge, OH
  • NPI 1629124482
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073503231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 TONKAWOOD DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782682",
            "telephone_number": "330-630-9327",
            "fax_number": "330-633-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EAST AVE",
            "address_2": "SUITE 2",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782328",
            "telephone_number": "330-633-3656",
            "fax_number": "330-633-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "MATTHEW",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "7554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000138915",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2244619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J. Dawson, O.D.
• Michelle Elizabeth Dawson, O.D.
• Sean Dawson, IMFT-S, LPC
• Joseph D Deppen
• Chris Derry, LISW-S
• Jay A Dipaolo, LISW
• Michelle Donnelly, P.T.A.
• Regina M Dorman, M.D.
• Mary Kay Dotterer, LPCC-S
• Antonette Doty, P.T.

• All providers in Tallmadge, OH
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.