Individual provider Active NPI

Matthew Windham, PT, DPT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1487588455
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
44810 Issued in FL
Practice address
13050 Metro Pkwy
Fort Myers, FL 33966-4800
Phone
(239) 313-6109
NPI assigned
Jun 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 44810 FL Primary

Addresses

Primary practice location

13050 Metro Pkwy
Fort Myers, FL 33966-4800

Mailing address

390 Birmingham Ridge Rd
Blue Springs, MS 38828-9309
Phone (662) 603-4491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omspt Holdings LLCGroup PAC ID 1850789066, 13 clinicians

Practice addresses (Care Compare)

13050 Metro Pkwy
Fort Myers, FL 33966-4800
Phone (239) 313-6109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omspt Holdings LLC Physical Therapist CurrentSince Jul 1, 2026 Accepting new patients
X3 Performance and Physical Therapy Physical Therapist PastSince Jul 21, 2026 Accepting new patients

Locations

13050 Metro Pkwy
Ste 1
Fort Myers, FL 33966

13050 Metro Pkwy
Fort Myers, FL 33966

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1487588455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BIRMINGHAM RIDGE RD",
            "city": "BLUE SPRINGS",
            "state": "MS",
            "postal_code": "388289309",
            "telephone_number": "662-603-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664800",
            "telephone_number": "239-313-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "44810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.