Matthew Parker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012888 Issued in GA

Practice address

106 Pearl Dr Ste 104
La Fayette, GA 30728-7510

Phone

(706) 638-3880

Fax

(706) 638-3890

NPI assigned

Jun 9, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154850311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PEARL DR STE 104",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307287510",
            "telephone_number": "706-638-3880",
            "fax_number": "706-638-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PEARL DR STE 104",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307287510",
            "telephone_number": "706-638-3880",
            "fax_number": "706-638-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 Martha Berry Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651623",
            "country_code": "US",
            "telephone_number": "706-528-4207",
            "fax_number": "706-528-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly O'Bryant, LMSW
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• Mathew Owens, DMD
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• Performance Physical Therapy & Sports Medicine Inc
• Physical Therapy Plus, LLC (LaFayette Physical Therapy)
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• Primary Health Care Center of Dade, Inc.

• Physical Therapist in La Fayette, GA
• Providers in La Fayette, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.