Matthew Kyle McGowan, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42057 Issued in FL

Practice address

10058 Gulf Center Dr Ste 100
Fort Myers, FL 33913-8961

Phone

(833) 493-4325

NPI assigned

Aug 2, 2016

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  Medicare reassignment NPD

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1598218935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9918 GULF COAST MAIN ST STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139023",
            "telephone_number": "833-493-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058 GULF CENTER DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138961",
            "telephone_number": "833-493-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2653 Bruce B Downs Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335449206",
            "country_code": "US",
            "telephone_number": "813-978-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 SW 35th Pl Apt 312",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326082718",
            "country_code": "US",
            "telephone_number": "518-307-7387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "MATTHEW",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42057",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 4587",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "AL 4587",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PT42057",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph John McGilvrey, PT
• Margaret Blair McGinley, MD
• Melissa McGivney
• Katelyn McGlaughlin
• Patrick McGough, RN
• William D. McGrady, D.M.D.
• Rebecca Lynn McGrane, LMT
• Collin McGrath, DNP, APRN, PMHNP
• Mary McGreen, M.S.ED. ED.S
• McGregor Chiropractic & Massage

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.