Matthew D Ditzler, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019164 Issued in PA

Practice address

114 E Main St
Fredericksburg, PA 17026-9528

Phone

(717) 507-5202

Fax

(804) 266-5677

NPI assigned

Feb 22, 2008

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• McCuen & Associates Physical Therapy, P.C.

  • Physical Therapist
  • Mechanicsburg, PA
  • NPI 1568684983
  NPD (past)
• Orthopedic & Spine Physical Therapy

  • Physical Therapist
  • Carlisle, PA
  • NPI 1811095631
  NPD (past)
• Walker Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Fredericksburg, PA
  • NPI 1417633728

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1205005352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170269528",
            "telephone_number": "717-507-5202",
            "fax_number": "804-266-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170269528",
            "telephone_number": "717-507-5202",
            "fax_number": "804-266-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITZLER",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Mountain Regenerative Medicine PLLC
• Kaola Japria Bovell, CRNP
• Meghan Boyer, LAT, ATC
• Marlene A Claman, PA
• Drayer Physical Therapy Institute LLC
• Jessica Erb, CRNP
• Fburg Chiro LLC
• Heather M Forry, RN
• Fredericksburg Community Health Center PC

• Physical Therapist in Fredericksburg, PA
• Providers in Fredericksburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.