Matthew W McDougal, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17688 Issued in NC

Practice address

200 Horizon Dr Ste 115
Raleigh, NC 27615-4947

Phone

(919) 875-1932

Fax

(919) 875-1933

NPI assigned

Feb 1, 2018

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

Enrolled in NC

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

Trinity Wellness Center, LLCGroup PAC ID 7517908932, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Trinity Wellness Center, LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1396762886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1568960870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HORIZON DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154947",
            "telephone_number": "919-875-1932",
            "fax_number": "919-875-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HORIZON DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154947",
            "telephone_number": "919-875-1932",
            "fax_number": "919-875-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGAL",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14204887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Elizabeth McDonough, PA-C
• Allison Sharp McDougal, MS, RDN, LDN
• Chelsi Allayne McDougal, LCSWA
• Cheryl McClure McDougal, M.A., CCC-SLP
• Katherine Elise McDougal, PA-C
• Ashley McDowell Petrilyak, MA
• Ame Wickham McDowell, OTR/L
• Karen McDowell, NNP
• Melinda McDowell, LCMHC, NCC
• Rachel McDowell, MSW, LCSWA

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.