Individual provider Active NPI

Matthew Chase Coleman, DPT

  • Physical Therapist
  • Cheyenne, WY
National Provider Identifier
1215620083
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14029 Issued in TN
Practice address
214 E 23Rd St
Cheyenne, WY 82001-3748
Phone
(307) 634-2273
NPI assigned
May 30, 2023
Last updated
May 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 14029 TN Primary

Addresses

Primary practice location

214 E 23Rd St
Cheyenne, WY 82001-3748

Mailing address

2017 Cody CV
Bluff City, TN 37618-4382
Phone (276) 608-9433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240418002182 AK Practitioner - Physical Therapist in Private Practice 3971942301 Reassigns benefits to 2 organizations
I20260127002365 AZ Practitioner - Physical Therapist in Private Practice 3971942301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Aquatic Therapy, Inc.Group PAC ID 6800864604, 13 clinicians

Practice addresses (Care Compare)

15800 N Litchfield Rd
Suite 130
Surprise, AZ 85374-5516
Phone (623) 400-9000

35932 Kenai Spur Hwy
Soldotna, AK 99669-7103
Phone (907) 398-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jan 5, 2026 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Alaska Aquatic Therapy Inc. Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

3051 E Palmer Wasilla Hwy
Wasilla, AK 99654
Phone (907) 352-4800

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

15800 N Litchfield Rd
Ste 130
Surprise, AZ 85374
Phone (623) 400-9000

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, 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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1215620083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 CODY CV",
            "city": "BLUFF CITY",
            "state": "TN",
            "postal_code": "376184382",
            "telephone_number": "276-608-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "307-634-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MATTHEW",
        "middle_name": "CHASE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.