Active NPI
Matthew Ray Dewall, MPT CSCS
- Physical Therapist
- Indianola, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03373
- Practice address
- 1507 North 1St St
Indianola, IA 50125 - Phone
- (515) 382-3366
- Fax
- (515) 382-1576
- NPI assigned
- Apr 27, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03373 | IA | Primary |
Addresses
Primary practice location
1507 North 1St St
Indianola, IA 50125
Mailing address
PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46364 | Other | IA | BCBS AH |
| 36592 | Other | IA | BCBS IND |
| 46363 | Other | IA | BCBS GR & MADRID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1507 N 1St St
Indianola Physical Therapy
Indianola, IA 50125-3703
Phone (515) 961-7435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 21St Century Rehab, PC | Physical Therapist | Current | Accepting new patients |
| 21St Century Rehab PC | Current | Accepting new patients | |
| 21St Century Rehab PC | Current | Accepting new patients |
Locations
1003 8th St SW
Ste D
Altoona, IA 50009
Phone (515) 967-4121
125 N 1st St
Carlisle, IA 50047
Phone (515) 989-0100
1507 N 1st St
Indianola, IA 50125
Phone (515) 961-7435
209 W 2nd St
Madrid, IA 50156
Phone (515) 795-2427
109 W McLane St
Osceola, IA 50213
Phone (641) 342-1470
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.
-
dba Indianola Physical Therapy
- Rehabilitation Clinic/Center
- Indianola, IA
- NPI 1174783583
-
- Rehabilitation Clinic/Center
- Madrid, IA
- NPI 1407016819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194782961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461",
"city": "NEVADA",
"state": "IA",
"postal_code": "502010461",
"telephone_number": "515-382-3366",
"fax_number": "515-382-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 NORTH 1ST ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "50125",
"telephone_number": "515-382-3366",
"fax_number": "515-382-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWALL",
"first_name": "MATTHEW",
"middle_name": "RAY",
"credential": "MPT CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AH",
"identifier": "46364",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND",
"identifier": "36592",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GR & MADRID",
"identifier": "46363",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.