Matthew Todd Jewell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211407 Issued in VA

Practice address

2751 Prosperity Ave Ste 100
Fairfax, VA 22031-4342

Phone

(703) 237-3930

NPI assigned

Apr 15, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Belfield Physical Therapy IncGroup PAC ID 1456303114, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Belfield Physical Therapy Inc

  • Physical Therapist
  • Warsaw, VA
  • NPI 1215994058
  Medicare reassignment Care Compare group NPD
• The Audiology Offices LLC

  • Audiologist
  • Kilmarnock, VA
  • NPI 1972716066
  NPD
• Regenerative Orthopedics and Sports Medicine, LLC

  • Orthopaedic Surgery Physician
  • Washington, DC
  • NPI 1992458392
  NPD (past)

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1467949511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COMMUNITY WAY APT 832",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 PROSPERITY AVE STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314342",
            "telephone_number": "703-237-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "MATTHEW",
        "middle_name": "TODD",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakul Jerath, MD
• Elise Jernigan, OTD
• Julie Jernigan, MSW
• Jessygarcare
• Jessygarcare Corp.
• Jewish Foundation for Group Homes
• Jewish Social Service Agency
• James Ritchie Jezior, M.D.
• JGC Healthcare Services
• Perrin M Jhaveri, MD

• Physical Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; 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.