Matthew Adam Wachtman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216741 Issued in VA

Practice address

3355 S Wadsworth Blvd Unit F107
Lakewood, CO 80227-5123

Phone

(303) 980-6762

NPI assigned

Apr 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jackson Clinics Limited Partnership

  • Physical Therapist
  • Centreville, VA
  • NPI 1639594831

  DC

  Medicare reassignment Care Compare group NPD
• Kentucky Orthopedic Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Lexington, KY
  • NPI 1932100971

  Physical Therapist

  NPD (past)
• Kentucky Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Lexington, KY
  • NPI 1730189762

  Physical Therapist

  NPD (past)
• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1437847316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 S WADSWORTH BLVD UNIT F107",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275123",
            "telephone_number": "303-980-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 S WADSWORTH BLVD UNIT F107",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275123",
            "telephone_number": "303-980-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTMAN",
        "first_name": "MATTHEW",
        "middle_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "CP034874T",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216741",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP059499T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W III, Inc.
• W III, Inc.
• W.J. Pontarelli, Jr., D.D.S., P.C.
• Robert Finley Waadt II, LPCC
• Andrew Waas
• James H Wade, OTD
• Kenneth Vaughn Wadsworth, DDS
• Laura Ann Wagner
• Roxanne Wagner, D.C.
• Vance Wagner II

• Physical Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.