Matty Matheson, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305214543 Issued in VA

Practice address

2247 W Great Neck Rd Ste 101
Virginia Beach, VA 23451-1556

Phone

(757) 742-3778

NPI assigned

Aug 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433

  Orthopedic

  Medicare reassignment NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Orthopedic

  NPD
• DPPT 2, LLC

  • Physical Therapy Clinic/Center
  • Norfolk, VA
  • NPI 1932615150

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1730854068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 AGUILA DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228034",
            "telephone_number": "757-572-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 W GREAT NECK RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511556",
            "telephone_number": "757-742-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3918 Lenox Ave Ste 430",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229012667",
            "country_code": "US",
            "telephone_number": "434-951-6355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "MATTY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT42293",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305214543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masterson Psychotherapy, LLC
• Susan Elizabeth Masterson, LCSW
• Elizabeth Marie Matamoros-Flora
• Makenzie Harman Mathers, FNP-C
• Stacey Renee Mathes, PHARM. D.
• Carrie Elizabeth Mathews, PSYD
• Savanna Mathias
• Iris Mathis-Spellman
• Linda Mathis, O.T.R.
• Allison Zolina Matias, PA-C

• Orthopedic Physical Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.