Individual provider Active NPI

Trevor Matulys, PT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1720510621
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P12795 Issued in NC
Practice address
3475 Erwin Rd
Pepsico Building
Durham, NC 27705-0005
Phone
(919) 681-1656
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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 P12795 NC Primary

Addresses

Primary practice location

3475 Erwin Rd
Pepsico Building
Durham, NC 27705-0005

Mailing address

3475 Erwin Rd
Pepsico Building
Durham, NC 27705-0005
Phone (919) 681-1656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410002910 NC Practitioner - Physical Therapist in Private Practice 5092056515 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1901 Nwcary Pkwy
Suite 110
Morrisville, NC 27560
Phone (919) 678-1525

3702 Hillsborough Rd
Suite 2B
Durham, NC 27705-2953
Phone (919) 646-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P12795NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Jan 1, 2017 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Sep 30, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

Organizations & group practices 9

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1720510621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 ERWIN RD",
            "address_2": "PEPSICO BUILDING",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277050005",
            "telephone_number": "919-681-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 ERWIN RD",
            "address_2": "PEPSICO BUILDING",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277050005",
            "telephone_number": "919-681-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULYS",
        "first_name": "TREVOR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.