Individual provider Active NPI

Matthew Walter Panzica, PT, DPT

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1285549543
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT45161 Issued in FL
Practice address
5970 S Jog Rd
Lake Worth, FL 33467-6590
Phone
(561) 432-3693
NPI assigned
Aug 18, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 PT45161 FL Primary

Addresses

Primary practice location

5970 S Jog Rd
Lake Worth, FL 33467-6590

Mailing address

222 Blanca Isles LN
Jupiter, FL 33478-5477
Phone (732) 609-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1285549543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BLANCA ISLES LN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334785477",
            "telephone_number": "732-609-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 S JOG RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676590",
            "telephone_number": "561-432-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZICA",
        "first_name": "MATTHEW",
        "middle_name": "WALTER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT45161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.