Matthew Lee Dewald, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004571 Issued in IA

Practice address

8550 W 38TH Ave
106B
Wheat Ridge, CO 80033-4300

Phone

(303) 953-3163

Fax

(202) 245-0726

NPI assigned

May 24, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Mountain States Hand and Physical Therapy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Wheat Ridge, CO
  • NPI 1023222312

  Physical Therapist

  NPD (past)
• Mountain States Hand and Physical Therapy, Inc.

  • Physical Therapist
  • Wheat Ridge, CO
  • NPI 1588622567
  NPD (past)

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1477872950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W 38TH AVE",
            "address_2": "106B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334300",
            "telephone_number": "303-953-3163",
            "fax_number": "202-245-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 W 38TH AVE",
            "address_2": "106B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334300",
            "telephone_number": "303-953-3163",
            "fax_number": "202-245-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665463",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marielou Adela Desouza-Chen, M.S.P.T
• Sara Detweiler
• Valerie Cristin Devanney, M.D.
• Developmental Disabilities Resource Center
• Laura M Devries, LPC
• Matthew A Dhieux, PA-C
• DHP of Colorado PC
• Akua Nkansah Diabene
• Diane Glass, LCSW, LCC
• Dena Kayanne Diaz, RN

• Physical Therapist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.