Matthew Whaley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0014703 Issued in DE

Practice address

30214 Sussex Hwy Unit 4B
Laurel, DE 19956-3880

Phone

(302) 875-8640

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shore Therapy Solutions, LLC

  • Physical Therapy Clinic/Center
  • Berlin, MD
  • NPI 1649932104

  Physical Therapist

  NPD
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Millsboro, DE
  • NPI 1427784578
  NPD (past)
• Phoenix Rehabilitation and Health Services of Delaware, Inc

  • Physical Therapist
  • Selbyville, DE
  • NPI 1316647159
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1265166680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30214 SUSSEX HWY UNIT 4B",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199563880",
            "telephone_number": "302-875-8640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11810 Man O War Ln",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218113362",
            "country_code": "US",
            "telephone_number": "443-926-9906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37031 Old Mill Bridge Rd Unit 2",
            "address_purpose": "LOCATION",
            "city": "Selbyville",
            "state": "DE",
            "postal_code": "199753940",
            "country_code": "US",
            "telephone_number": "302-564-7476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17425 Ocean One Plz",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581924",
            "country_code": "US",
            "telephone_number": "302-703-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 W Church St",
            "address_purpose": "LOCATION",
            "city": "Selbyville",
            "state": "DE",
            "postal_code": "19975",
            "country_code": "US",
            "telephone_number": "302-524-2097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Atlantic Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Ocean View",
            "state": "DE",
            "postal_code": "199709166",
            "country_code": "US",
            "telephone_number": "302-829-8508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28632 DuPont Blvd",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199664793",
            "country_code": "US",
            "telephone_number": "302-934-0304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tabitha Medical Care LLC
• Kayla N Thomas, PMHNP
• Tidalhealth Physician Network, Inc.
• Lauren Valenti
• Walgreen Co.
• Arlene Patricia Wood, LCPC, LPCMH

• Physical Therapist in Laurel, DE
• Providers in Laurel, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.