Individual provider Active NPI

Matthew Denver Watkins-Greenholt

  • Physical Therapist
  • Spring Grove, PA
National Provider Identifier
1154206258
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
31 W Hanover St Ste 4
Spring Grove, PA 17362-1148
Phone
(717) 225-6671
NPI assigned
Aug 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 PT033492 PA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

31 W Hanover St Ste 4
Spring Grove, PA 17362-1148

Mailing address

341 Coleman Rd
Gettysburg, PA 17325-8243
Phone (717) 440-0105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128001291 PA Practitioner - Physical Therapist in Private Practice 6507344918 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
PHS Physical Therapy LLCGroup PAC ID 9234454851, 26 clinicians

Practice addresses (Care Compare)

144 S 8TH St
Suite 107
Chambersburg, PA 17201-2752
Phone (717) 414-7798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033492PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Jan 2, 2026 Accepting new patients
PHS Physical Therapy, LLC CurrentSince Jan 2, 2026 Accepting new patients

Locations

144 S 8th St
Ste 107
Chambersburg, PA 17201
Phone 71726377882

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

31 W Hanover St
Ste 4
Spring Grove, PA 17362
Phone (717) 225-6671

Organizations & group practices 2

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1154206258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 COLEMAN RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258243",
            "telephone_number": "717-440-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W HANOVER ST STE 4",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621148",
            "telephone_number": "717-225-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS-GREENHOLT",
        "first_name": "MATTHEW",
        "middle_name": "DENVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033492",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.