Active NPI
Matthew J Winters, DPT
- Physical Therapist
- Lawrenceville, GA
National Provider Identifier
1124053194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 860 Duluth Hwy Ste 140
Lawrenceville, GA 30043-5336 - Phone
- (470) 410-1444
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P18140 | NC | |
| Physical Therapist | 225100000X | GA | Primary |
Addresses
Primary practice location
860 Duluth Hwy Ste 140
Lawrenceville, GA 30043-5336
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Other practice location 1
12850 Highway 9 N Ste 1050
Alpharetta, GA 30004-4669
Phone (678) 332-5800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9669 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H/S Therapy Associates, Inc. | Physical Therapist | Past | Accepting new patients |
| MWR Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients | |
| The Rejuvenation Center of Chandler | Past | Accepting new patients | |
| Ati Holdings of Arizona, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1871570309
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
-
- Physical Therapist
- Gilbert, AZ
- NPI 1639203995
-
- Physical Medicine & Rehabilitation Physician
- Chandler, AZ
- NPI 1376588715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1124053194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 DULUTH HWY STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435336",
"telephone_number": "470-410-1444"
}
],
"practiceLocations": [
{
"address_1": "12850 Highway 9 N Ste 1050",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300044669",
"country_code": "US",
"telephone_number": "678-332-5800",
"fax_number": "678-681-9004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINTERS",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18140",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.