Individual provider Active NPI

Matthew Randall Dampf, PT, DPT

  • Orthopedic Physical Therapist
  • Jefferson City, MO
National Provider Identifier
1720973092
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2025020894 Issued in MO
Practice address
2701 W Edgewood Dr Ste 105
Jefferson City, MO 65109-5890
Phone
(573) 761-5130
NPI assigned
Jun 9, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2025020894 MO Primary

Addresses

Primary practice location

2701 W Edgewood Dr Ste 105
Jefferson City, MO 65109-5890

Mailing address

4112 Greenbrier Dr
Jefferson City, MO 65109-8718
Phone (573) 690-6136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731001964 MO Practitioner - Physical Therapist in Private Practice 9739697996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

2701 W Edgewood Dr
Suite 105
Jefferson City, MO 65109-5890
Phone (573) 761-5130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Orthopedic Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 9, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 9, 2025 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

155 Siemers Dr
Ste 8
Cape Girardeau, MO 63701
Phone (573) 334-6711

2701 W Edgewood Dr
Ste 105
Jefferson City, MO 65109
Phone (573) 636-9104

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1720973092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 GREENBRIER DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651098718",
            "telephone_number": "573-690-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W EDGEWOOD DR STE 105",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095890",
            "telephone_number": "573-761-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMPF",
        "first_name": "MATTHEW",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2025020894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.