Matthew Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32480 Issued in FL

Practice address

18900 N Tamiami TRL
Ste A5
N Fort Myers, FL 33903-7312

Phone

(239) 731-6222

Fax

(239) 731-6555

NPI assigned

May 5, 2017

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Fyzbiz, LLC

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
  • NPI 1700248887

  Physical Therapist

  NPD

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1629504931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18070 S TAMIAMI TRL",
            "address_2": "SUITE 15",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084602",
            "telephone_number": "239-344-4448",
            "fax_number": "239-344-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 N TAMIAMI TRL",
            "address_2": "STE A5",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339037312",
            "telephone_number": "239-731-6222",
            "fax_number": "239-731-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PT32480",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Lloyd Rattigan Jr.
• Elisa Rivero
• Laura Elena Rodriguez Hernandez
• Christine Elizabeth Shultz
• Gaudie Sierra
• Wal-Mart Stores East, LP
• Matthew Felton Wells
• Zenaida Paula, Psy.D. Inc.

• Physical Therapist in N Fort Myers, FL
• Providers in N 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 May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.