Matthew Wilton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12172 Issued in TN

Practice address

2412 Knob Creek Rd
Johnson City, TN 37604-2586

Phone

(423) 930-9001

NPI assigned

Feb 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1730646274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 KNOB CREEK RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 KNOB CREEK RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042586",
            "telephone_number": "423-930-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTON",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Marie Wilson
• Sydney N Wilson, NP
• Tonya Henry Wilson, ANP
• Tyler Keith Wilson, DO
• Andrew Steven Wilt, M.D.
• David Skyler Winchester, DO
• Bruce C Winegar, DO
• Matthew A Wineman
• Jordan Wines, AU.D.
• Blake Winkle

• Physical Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.