Individual provider Active NPI

Matthew Cole Medei, DPT

  • Physical Therapist
  • Chiefland, FL
National Provider Identifier
1376219840
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37063 Issued in FL
Practice address
1315 NW 21St Ave Ste 3
Chiefland, FL 32626-1978
Phone
(352) 493-2999
NPI assigned
Aug 17, 2021
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 PT37063 FL Primary

Addresses

Primary practice location

1315 NW 21St Ave Ste 3
Chiefland, FL 32626-1978

Mailing address

1315 NW 21St Ave Ste 3
Chiefland, FL 32626-1978
Phone (352) 493-2999

Other practice location 1

5201 NW 34th Blvd
Gainesville, FL 32605-1153
Phone (352) 240-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118000377 FL Practitioner - Physical Therapist in Private Practice 1759770415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37063FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Wellness LLC CurrentSince Aug 17, 2021 Accepting new patients
Nature Coast Rehabilitation Inc PastSince Aug 17, 2021 Accepting new patients

Locations

1315 NW 21st Ave
Ste 3
Chiefland, FL 32626
Phone (352) 493-2999

1315 NW 21st Ave
Ste C
Chiefland, FL 32626
Phone (352) 493-2999

5201 NW 34th Blvd
Gainesville, FL 32605
Phone (352) 240-1136

Organizations & group practices 2

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1376219840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE STE 3",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261978",
            "telephone_number": "352-493-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE STE 3",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261978",
            "telephone_number": "352-493-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 NW 34th Blvd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326051153",
            "country_code": "US",
            "telephone_number": "352-240-1136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEI",
        "first_name": "MATTHEW",
        "middle_name": "COLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.