Individual provider Active NPI

Matthew De Jesus, DPT, PT

  • Physical Therapist
  • Freehold, NJ
National Provider Identifier
1124988902
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02381500 Issued in NJ
Practice address
501 Iron Bridge Rd Ste 2
Freehold, NJ 07728-5305
Phone
(732) 272-1438
NPI assigned
Nov 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02381500 NJ Primary

Addresses

Primary practice location

501 Iron Bridge Rd Ste 2
Freehold, NJ 07728-5305

Mailing address

501 Iron Bridge Rd Ste 2
Freehold, NJ 07728-5305
Phone (732) 272-1438

Other practice location 1

145 Wyckoff Rd Ste 102
Eatontown, NJ 07724-1879
Phone (848) 208-2721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218000040 NJ Practitioner - Physical Therapist in Private Practice 8921593997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Star Physical Therapy and Wellness LLCGroup PAC ID 4688824816, 8 clinicians

Practice addresses (Care Compare)

501 Iron Bridge Rd
Suite 2
Freehold, NJ 07728-5305
Phone (732) 272-1438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02381500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Star Physical Therapy and Wellness LLC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients

Locations

145 Wyckoff Rd
Ste 102
Eatontown, NJ 07724
Phone (732) 578-0311

501 Iron Bridge Rd
Ste 2
Freehold, NJ 07728
Phone (732) 272-1438

198 Brighton Ave
Long Branch, NJ 07740
Phone (732) 272-1438

Organizations & group practices 1

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": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1124988902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 IRON BRIDGE RD STE 2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285305",
            "telephone_number": "732-272-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 IRON BRIDGE RD STE 2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285305",
            "telephone_number": "732-272-1438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Wyckoff Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241879",
            "country_code": "US",
            "telephone_number": "848-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "MATTHEW",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02381500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.