Active NPI
Matthew Agudelo, DPT
- Physical Therapist
- North Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01936500
- Practice address
- 101 Amy Dr
North Brunswick, NJ 08902-5548 - Phone
- (848) 203-1184
- NPI assigned
- Jun 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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
- Clark, NJ
- NPI 1811937527
NJ, Physical Therapist
-
- Physical Therapy Clinic/Center
- North Brunswick, NJ
- NPI 1437996659
-
- Occupational Therapist
- Newark, NJ
- NPI 1659874857
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Twin Boro Physical Therapy Associates, PA
Practice addresses (Care Compare)
2050 State Route 27
Suite 107
North Brunswick, NJ 08902-1380
Phone (732) 745-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210907002120 | NJ | Practitioner - Physical Therapist in Private Practice | 3577969146 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA01936500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lig Physical Therapy and Wellness | Current | Accepting new patients | |
| Twin Boro Physical Therapy Associates PA | Physical Therapist | Current | Accepting new patients |
| Mobile Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Twin Boro Physical Therapy Associates, PA | Current | Accepting new patients |
Locations
20 Commerce Dr
Ste 210
Cranford, NJ 07016
2050 State Route 27
Ste 107108
North Brunswick, NJ 08902
Phone (732) 745-2727
2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727
8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QA01936500 | NJ | |
| Physical Therapist | 225100000X | 40QA01936500 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
101 Amy Dr
North Brunswick, NJ 08902-5548
Mailing address
101 Amy Dr
North Brunswick, NJ 08902-5548
Phone (848) 203-1184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2026.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1164099610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 AMY DR",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089025548",
"telephone_number": "848-203-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AMY DR",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089025548",
"telephone_number": "848-203-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUDELO",
"first_name": "MATTHEW",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-04",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA01936500",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01936500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.