Individual provider Active NPI

Matthew Palmer, DPT

  • Physical Therapist
  • Fayetteville, AR
National Provider Identifier
1609550425
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5289 Issued in AR
Practice address
1188 N Salem Rd Ste 1
Fayetteville, AR 72704-8803
Phone
(479) 442-7473
Fax
(479) 239-5444
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 PT5289 AR Primary

Addresses

Primary practice location

1188 N Salem Rd Ste 1
Fayetteville, AR 72704-8803

Mailing address

1188 N Salem Rd Ste 1
Fayetteville, AR 72704-8803
Phone (479) 442-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728003316 AR Practitioner - Physical Therapist in Private Practice 2961863568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Physical Therapy IncGroup PAC ID 9133400203, 35 clinicians

Practice addresses (Care Compare)

1188 N Salem Rd
Suite 1
Fayetteville, AR 72704-8807
Phone (479) 239-5432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Physical Therapy, Inc. Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Rise Physical Therapy, Inc. CurrentSince Jun 27, 2023 Accepting new patients

Locations

3484 W Wedington Dr
Ste 4
Fayetteville, AR 72704
Phone (479) 239-5432

1188 N Salem Rd
Ste 1
Fayetteville, AR 72704
Phone (479) 442-7473

2668 E Citizens Dr
Ste 5
Fayetteville, AR 72703
Phone (479) 442-7473

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1609550425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 N SALEM RD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048803",
            "telephone_number": "479-442-7473",
            "fax_number": "479-239-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 N SALEM RD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048803",
            "telephone_number": "479-442-7473",
            "fax_number": "479-239-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.