Matthew C Devries, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606371 Issued in VA

Practice address

501 Park Hill Dr
Fredericksburg, VA 22401-3377

Phone

(540) 372-6745

Fax

(540) 372-3510

NPI assigned

Jan 19, 2024

Last updated

Jan 19, 2024By the provider in NPPES

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 names 1

• Matthew C Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1104687805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013377",
            "fax_number": "540-372-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013377",
            "telephone_number": "540-372-6745",
            "fax_number": "540-372-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "MILLER",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Renee Detar
• Frank J Detrane, M.D.
• Randi Lee Dettling, PA-C
• Michael Deutsch, PA
• Eric Alphaeus Devairakkam, DO
• Kinder Dewoolfson, PT, DPT
• Narayan Dharel, MD, PHD
• Pushpinder Dhillon, M.D., F.A.C.O.G
• Rajwant Dhillon
• Rajivkumar Dhingra

• Physical Therapy Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.