Individual provider Active NPI

Matthew Rodemeyer, DPT

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1629833256
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303241 Issued in MI
Practice address
28514 Dequindre Rd
Warren, MI 48092-5606
Phone
(248) 658-1231
Fax
(248) 970-1064
NPI assigned
Feb 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501303241 MI Primary
Physical Medicine & Rehabilitation Physician 208100000X 5501303241 MI

Addresses

Primary practice location

28514 Dequindre Rd
Warren, MI 48092-5606

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250127000310 MI Practitioner - Physical Therapist in Private Practice 5193254837 Reassigns benefits to 2 organizations

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
Metro-Strength Performance RehabGroup PAC ID 3375915531, 4 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1325 E 11 Mile Rd
Royal Oak, MI 48067-2051
Phone (313) 240-9700

28514 Dequindre Rd
Warren, MI 48092-5606
Phone (248) 658-1231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303241MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro-Strength Performance Rehab Physical Therapist CurrentSince Oct 19, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 21, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 21, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141

2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820

1325 E 11 Mile Rd
Royal Oak, MI 48067
Phone (313) 240-9700

28514 Dequindre Rd
Warren, MI 48092
Phone (248) 658-1231

Interoperability endpoints

  • Direct secure messaging: matthew.rodemeyer.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1629833256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28514 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925606",
            "telephone_number": "248-658-1231",
            "fax_number": "248-970-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEMEYER",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303241",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501303241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.