Individual provider Active NPI

Matthew J Dever, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1093398315
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1812 Marsh Rd # Store505
Wilmington, DE 19810-4581
Phone
(302) 475-7500
Fax
(302) 475-5787
NPI assigned
May 4, 2021
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 302724 CA
Physical Therapist 225100000X PT029634 PA
Physical Therapist 225100000X DE Primary

Addresses

Primary practice location

1812 Marsh Rd # Store505
Wilmington, DE 19810-4581

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

229 Arch St Unit 112
Philadelphia, PA 19106-1974
Phone (267) 236-1025

Other practice location 2

10635 Santa Monica Blvd Ste 165
Los Angeles, CA 90025-8306
Phone (310) 273-0877

Other practice location 3

9512 Harford Rd Ste 3
Baltimore, MD 21234-3127
Phone (410) 882-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DE, NJ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210826000321 PA Practitioner - Physical Therapist in Private Practice 4486059656 Reassigns benefits to 2 organizations
I20231013000335 MD Practitioner - Physical Therapist in Private Practice 4486059656 Reassigns benefits to 2 organizations
I20240712001035 DE Practitioner - Physical Therapist in Private Practice 4486059656 Reassigns benefits to 1 organization
I20251231002007 NJ Practitioner - Physical Therapist in Private Practice 4486059656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

1 St Rocco Way
Abessinio Stadium Physical Therapy
Wilmington, DE 19802-3822
Phone (302) 353-5646

1000 Smyrna Clayton Blvd
Suite 4
Smyrna, DE 19977-2228
Phone (302) 659-3102

344 N Delsea Dr
Suite 4
Malaga, NJ 08328-4400
Phone (856) 694-0881

3620 Concord Pike
SPC L
Wilmington, DE 19803-5022
Phone (302) 281-3072

9512 Harford Rd
Suite 3
Baltimore, MD 21234-3127
Phone (410) 882-3010

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
29522MDMDClinical Social Worker
PT029634PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adi Rehab, Incorporated Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 5, 2021 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Jan 2, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jan 2, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients
Wallace & Nilan Physical Therapy and Fitness, LLC Physical Therapist PastSince May 1, 2021 Accepting new patients

Locations

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

1 St Rocco Way
Ste B
Wilmington, DE 19802

100 Valley Center Rd
Wilmington, DE 19808
Phone (302) 229-1986

1600 N Washington St
Wilmington, DE 19802
Phone (302) 428-5954

1812 Marsh Rd
Ste 505
Wilmington, DE 19810
Phone (302) 475-7500

3620 Concord Pike
Spc L
Wilmington, DE 19803
Phone (302) 281-3072

790 Remington Blvd
Bolingbrook, IL 60440

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

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

14190 Baltimore Ave
Ste B
Laurel, MD 20707
Phone (240) 542-5924

9512 Harford Rd
Ste 3
Parkville, MD 21234
Phone (410) 882-3010

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

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

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

344 Delsea Dr
Ste 4
Malaga, NJ 08328
Phone (856) 694-0881

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

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

2000 Hamilton St
Ste 211
Philadelphia, PA 19130
Phone (215) 383-0220

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1093398315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 MARSH RD # STORE505",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104581",
            "telephone_number": "302-475-7500",
            "fax_number": "302-475-5787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Arch St Unit 112",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191061974",
            "country_code": "US",
            "telephone_number": "267-236-1025",
            "fax_number": "267-236-1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10635 Santa Monica Blvd Ste 165",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900258306",
            "country_code": "US",
            "telephone_number": "310-273-0877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9512 Harford Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212343127",
            "country_code": "US",
            "telephone_number": "410-882-3010",
            "fax_number": "410-882-3014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302724",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029634",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.