Individual provider Active NPI

Bradley Matthews, DPT

  • Physical Therapist
  • Huntingdon, TN
National Provider Identifier
1184003170
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10430 Issued in TN
Practice address
3493 Veterans Dr N
Suite D
Huntingdon, TN 38344-6227
Phone
(731) 209-4444
Fax
(731) 209-0137
NPI assigned
May 22, 2015
Last updated
May 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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 10430 TN Primary

Addresses

Primary practice location

3493 Veterans Dr N
Suite D
Huntingdon, TN 38344-6227

Mailing address

800 Crescent Centre Dr
Franklin, TN 37067-7269
Phone (615) 373-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730010718 TN Practitioner - Physical Therapist in Private Practice 3476867821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamix Physical Therapy LLCGroup PAC ID 5193873933, 46 clinicians

Practice addresses (Care Compare)

2060 Rhino Xing
Milan, TN 38358-5201
Phone (731) 613-2214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamix Physical Therapy LLC CurrentSince Mar 20, 2017 Accepting new patients
Star Physical Therapy LP Physical Therapist Past Accepting new patients
Kerry D. Friesen, M.D. PC Past Accepting new patients

Locations

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100

470 Mall Blvd
Ste D
Dyersburg, TN 38024
Phone (731) 259-9995

405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221

3095 Eastend Dr
Humboldt, TN 38343
Phone (731) 824-2221

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

117 Bowling Dr
Jackson, TN 38305
Phone (731) 300-2202

103 Main St S
Mc Kenzie, TN 38201
Phone (731) 393-0504

2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214

6070 S 1st St
Ste D
Milan, TN 38358
Phone (731) 613-2214

1023 Mineral Wells Ave
Ste E
Paris, TN 38242
Phone (731) 333-3306

128 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2221

1370 Rutledge Ln
Union City, TN 38261
Phone (731) 389-9800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1184003170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677269",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3493 VETERANS DR N",
            "address_2": "SUITE D",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383446227",
            "telephone_number": "731-209-4444",
            "fax_number": "731-209-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BRADLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.