Individual provider Active NPI

Matthew McGillen, PT, DPT

  • Physical Therapist
  • Lansdale, PA
National Provider Identifier
1114499381
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028893 Issued in PA
Practice address
608 E Main St
Lansdale, PA 19446-2936
Phone
(609) 923-2421
NPI assigned
Dec 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01799800 NJ
Physical Therapist 225100000X PT028893 PA Primary

Addresses

Primary practice location

608 E Main St
Lansdale, PA 19446-2936

Mailing address

2000 Ruby Crest Dr Apt 2302
Malvern, PA 19355-8825
Phone (609) 923-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006002109 PA Practitioner - Physical Therapist in Private Practice 1456770726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 25, 2023 Accepting new patients
Parry PT LLC Physical Therapist CurrentSince Jan 13, 2022 Accepting new patients
Industry Health Solutions, Inc Physical Therapist PastSince Apr 19, 2021 Accepting new patients

Locations

6030 West Oaks Blvd
Ste 210
Rocklin, CA 95765
Phone (281) 801-8561

300 Welsh Rd
Bldg 1
Horsham, PA 19044

608 E Main St
Lansdale, PA 19446
Phone (215) 538-1999

723 Route 113
Souderton, PA 18964
Phone (215) 538-1999

723 Route 113
#6
Souderton, PA 18964
Phone (215) 538-1999

723 Route 113
Ste 6
Souderton, PA 18964
Phone (215) 538-1999

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1114499381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RUBY CREST DR APT 2302",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193558825",
            "telephone_number": "609-923-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E MAIN ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462936",
            "telephone_number": "609-923-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLEN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2021-03-30",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01799800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.