Matthew Ryan Jimenez, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024314 Issued in PA

Practice address

3280 Mitchell Blvd
Moody Afb, GA 31699-1500

Phone

(229) 257-2778

NPI assigned

Mar 24, 2015

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

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.

• Hedera Counseling Center

  • Mental Health Counselor
  • Moody Afb, GA
  • NPI 1083296610
  NPD

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1487048823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 MITCHELL BLVD",
            "city": "MOODY AFB",
            "state": "GA",
            "postal_code": "316991500",
            "telephone_number": "229-257-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 MITCHELL BLVD",
            "city": "MOODY AFB",
            "state": "GA",
            "postal_code": "316991500",
            "telephone_number": "229-257-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilford Hall Loop, Bldg 4554",
            "address_2": "Attn: 59 MDW/SGHC",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78236",
            "country_code": "US",
            "telephone_number": "210-292-5040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7196B Savannah St",
            "address_purpose": "LOCATION",
            "city": "Moody AFB",
            "state": "GA",
            "postal_code": "316991611",
            "country_code": "US",
            "telephone_number": "229-257-3826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Helen Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427456",
            "country_code": "US",
            "telephone_number": "717-270-5465",
            "fax_number": "717-270-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Houser, MD
• James Sky Howell, IDMT-P
• Alex Hughes II, PA
• Zack Hunter, IDMT
• Laura Kathleen Iandoli, LCSW
• Kristopher Mark Hotai Johnston, MS, ATC
• Leigh Ann Jones, IDMT
• Shawn Philip Knight, PA-C
• Kyle Michael Larson, IDMT
• William Deleon Lawson, PA-C

• All providers in Moody Afb, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.