Individual provider Active NPI

Matthew Glenn Stitzlein, DPT, PT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1245962554
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29001 Issued in MD
Practice address
80 E Jefferson St
Falls Church, VA 22046-3567
Phone
(703) 237-2000
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 29001 MD Primary

Addresses

Primary practice location

80 E Jefferson St
Falls Church, VA 22046-3567

Mailing address

4001 9TH St N
Arlington, VA 22203-1956
Phone (301) 873-9781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220908003714 MD Practitioner - Physical Therapist in Private Practice 9133503212 Reassigns benefits to 2 organizations
I20240522001509 DC Practitioner - Physical Therapist in Private Practice 9133503212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodies in Motion Physical Therapy, LLCGroup PAC ID 4587646393, 10 clinicians

Practice addresses (Care Compare)

80 E Jefferson St
Suite 200
Falls Church, VA 22046-3567
Phone (703) 237-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29001MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Felice Physical Therapy Single Specialty CurrentSince Jun 29, 2022 Accepting new patients
Privia Medical Group, LLC Single Specialty CurrentSince Nov 7, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2023 Accepting new patients
Bodies in Motion Physical Therapy, LLC Single Specialty CurrentSince Jun 3, 2024 Accepting new patients
Felice Physical Therapy PastSince Jun 12, 2022 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

10 Light St
Baltimore, MD 21202
Phone (410) 202-8581

11270 Pepper Rd
Hunt Valley, MD 21031
Phone (410) 708-4763

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

80 E Jefferson St
Ste 200
Falls Church, VA 22046
Phone (703) 237-2000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1245962554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 9TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031956",
            "telephone_number": "301-873-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E JEFFERSON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463567",
            "telephone_number": "703-237-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITZLEIN",
        "first_name": "MATTHEW",
        "middle_name": "GLENN",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.