Active NPI
Matthew Fugate, PT
- Physical Therapist
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31663
- Practice address
- 16811 N Litchfield Rd Ste 101
Surprise, AZ 85374-7062 - Phone
- (602) 313-4045
- Fax
- (623) 322-0664
- NPI assigned
- Mar 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | GA | ||
| Physical Therapist | 225100000X | LPT-31663 | AZ | Primary |
Addresses
Primary practice location
16811 N Litchfield Rd Ste 101
Surprise, AZ 85374-7062
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
920 Marietta Hwy Ste 340
Roswell, GA 30075-6751
Phone (470) 857-3604
Other practice location 2
3850 W Happy Valley Rd Ste 147149
Glendale, AZ 85310-3280
Phone (623) 322-8925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, GA, TN
Enrollment records 3
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
Practice addresses (Care Compare)
16811 N Litchfield Rd
Suite 101
Surprise, AZ 85374-7062
Phone (623) 322-0654
222 Sequoyah Rd
Suite 4
Soddy Daisy, TN 37379-5154
Phone (423) 332-3601
920 Marietta Hwy
Suite 340
Roswell, GA 30075-6751
Phone (470) 857-3604
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.7 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31663 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| MCM Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| MCM Rehabilitation LLC | Current | Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
3850 W Happy Valley Rd
Ste 147
Glendale, AZ 85310
Phone (623) 322-8925
3850 W Happy Valley Rd
Ste 147149
Glendale, AZ 85310
Phone (623) 322-8925
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
9069 W Olive Ave
Ste 105
Peoria, AZ 85345
Phone (623) 257-2079
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
16811 N Litchfield Rd
Ste 101
Surprise, AZ 85374
Phone (602) 313-4045
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
1343 W Walnut Ave
Dalton, GA 30720
Phone (706) 913-8201
3154 Johnson Ferry Rd
Ste 100
Marietta, GA 30062
Phone (678) 256-0758
97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771
920 Marietta Hwy
Ste 340
Roswell, GA 30075
Phone (470) 857-3604
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cr
Chicago, IL 60674
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
222 Sequoyah Rd
Ste 4
Soddy Daisy, TN 37379
Phone (423) 332-3601
Organizations & group practices 7
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1871570309
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1538226840
GA, Physical Therapist
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
- Physical Therapist
- Tucson, AZ
- NPI 1699405050
-
- Durable Medical Equipment & Medical Supplies
- Hixson, TN
- NPI 1922681360
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1396320669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16811 N LITCHFIELD RD STE 101",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747062",
"telephone_number": "602-313-4045",
"fax_number": "623-322-0664"
}
],
"practiceLocations": [
{
"address_1": "920 Marietta Hwy Ste 340",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300756751",
"country_code": "US",
"telephone_number": "470-857-3604",
"fax_number": "470-777-4259",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3850 W Happy Valley Rd Ste 147149",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853103280",
"country_code": "US",
"telephone_number": "623-322-8925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUGATE",
"first_name": "MATTHEW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-17",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.