Matthew Dehaven, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017725 Issued in CO

Practice address

9351 Grant St Ste 430
Thornton, CO 80229-4365

Phone

(303) 280-1211

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By 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

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Therapy LTD

  • Physical Therapy Assistant
  • Denver, CO
  • NPI 1962943837

  Physical Therapist

  NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Thornton, CO
  • NPI 1982654190
  NPD (past)
• Rocky Mountain Therapy LTD

  • Physical Medicine & Rehabilitation Physician
  • Arvada, CO
  • NPI 1164123261
  NPD (past)
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1124697412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 E 103RD CIR APT 5103",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802298553",
            "telephone_number": "517-499-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 430",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294365",
            "telephone_number": "303-280-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Dean
• Jordyn W Debower, LPC
• Melanie Beth Debusk, M.S., CCC-SLP
• Melissa Dechant, BSRN
• Erin M Deedy-Lee, D.M.D.
• Madison Delay
• Elizabeth Demarsh-Smith
• Victoria Demery
• Daniel Shane Demonica, PHARMD
• Paul D Deneault, M.D.

• Physical Therapist in Thornton, CO
• Providers in Thornton, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.