Individual provider Active NPI

Matthew Agudelo, DPT

  • Physical Therapist
  • North Brunswick, NJ
National Provider Identifier
1164099610
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01936500 Issued in NJ
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.

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 89 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
QA01936500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lig Physical Therapy and Wellness CurrentSince Jul 21, 2024 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Oct 18, 2021 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Aug 15, 2021 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Oct 18, 2021 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)CodeLicenseStatePrimary
Physical Therapist 225100000X QA01936500 NJ
Physical Therapist 225100000X 40QA01936500 NJ Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.