Active NPI
Matthew Fletcher
- Physical Therapist
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-30922
- Practice address
- 6421 E Marley Ave
Prescott Valley, AZ 86314-3871 - Phone
- (602) 614-2801
- NPI assigned
- Oct 15, 2019
- Last updated
- Oct 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-30922 | AZ | Primary |
Addresses
Primary practice location
6421 E Marley Ave
Prescott Valley, AZ 86314-3871
Mailing address
6421 E Marley Ave
Prescott Valley, AZ 86314-3871
Phone (602) 614-2801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6421 E Marley Ave
Prescott Valley, AZ 86314-3871
Phone (602) 614-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
20320 N John Wayne Pkwy
Ste 120
Maricopa, AZ 85139
Phone (520) 635-2260
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Prescott Mobile Physical Therapy and Wellness
- Physical Therapy Clinic/Center
- Prescott Valley, AZ
- NPI 1023683182
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1487296042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6421 E MARLEY AVE",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863143871",
"telephone_number": "602-614-2801",
"fax_number": "844-747-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6421 E MARLEY AVE",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863143871",
"telephone_number": "602-614-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-15",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
- Laura Finkbeiner, FNP-C
- Donna Jean Finnegan, APRN,BC
- Nanci Margaret Fischer, RN, BSN
- Susan Elizabeth Fisher, HCP
- Kristine Fleming, OTR/L
- Grace Mary Flicker, MS/SLP/ECE
- Lilly Alejandra Flores-Fiumara, B.C.B.A.-D.
- Lisa Marie Flynn, RN
- Bibina Fonjong, PHARMACIST
- Foothills Sports Medicine & Rehabilitation - Prescott Valley, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.