Matthew Grayson Medlin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14414 Issued in NC

Practice address

112 Grand Hill PL
Holly Springs, NC 27540-4416

Phone

(919) 346-5815

Fax

(919) 346-5816

NPI assigned

Sep 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1467889139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677286",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GRAND HILL PL",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404416",
            "telephone_number": "919-346-5815",
            "fax_number": "919-346-5816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Litho Pl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042518",
            "country_code": "US",
            "telephone_number": "910-484-2091",
            "fax_number": "910-483-7456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "MATTHEW",
        "middle_name": "GRAYSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayneesha Meadows
• Med First Immediate Care & Family Practice, PA
• Med Mart Medical Associates PLLC
• Medgate Mobility LLC
• Mediq Physical Therapy
• Richard Alexander Medlin, DPT
• Vidushi Mehrotra, D.O.
• Isha Manohar Mehta, M.D.
• Amanda Ward Meisel, CNM
• Kayla Merkel, LCSW

• Physical Therapist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.