Individual provider Active NPI

Matthew James Simmons, PT, DPT

  • Physical Therapist
  • Radcliff, KY
National Provider Identifier
1740763192
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007577 Issued in KY
Practice address
490 W Lincoln Trail Blvd
Radcliff, KY 40160-2047
Phone
(270) 352-1061
NPI assigned
Sep 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 007577 KY Primary

Addresses

Primary practice location

490 W Lincoln Trail Blvd
Radcliff, KY 40160-2047

Mailing address

2618 Ring Rd Unit 110
Elizabethtown, KY 42701-7116
Phone (270) 766-1213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181217002154 KY Practitioner - Physical Therapist in Private Practice 3173868304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

210 E Gray St
Suite 807
Louisville, KY 40202-3927
Phone (502) 587-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007577KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Aug 1, 2021 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

6003 Pleasant Colony Ct
Ste 3
Crestwood, KY 40014
Phone (502) 241-5597

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

1212 Market St
Lagrange, KY 40031
Phone (502) 225-9981

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

9451 Westport Rd
Ste B
Louisville, KY 40241
Phone (502) 261-1950

6400 Dutchmans Pkwy
Ste 20
Louisville, KY 40205
Phone (502) 742-9392

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961

9300 Stonestreet Rd
Ste 400
Louisville, KY 40272
Phone (502) 935-8061

1227 Goss Ave
Louisville, KY 40217
Phone (502) 636-1200

315 E Broadway
Ste 195
Louisville, KY 40202
Phone (502) 589-5961

2901 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-6307

3584 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-4700

4430 Crawford Ave
Louisville, KY 40258
Phone (502) 995-2705

4010 DuPont Cir
Ste L14
Louisville, KY 40207
Phone (502) 899-1911

3509 S Hurstbourne Pkwy
Louisville, KY 40299
Phone (502) 537-7070

9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3979

9880 Angies Way
Ste 100
Lyndon, KY 40241
Phone (502) 209-0649

190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332

160 Frankfort Rd
Shelbyville, KY 40065
Phone (502) 257-8452

1868 W Hebron Ln
Ste 101
Shepherdsville, KY 40165
Phone (502) 955-7724

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1740763192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 RING RD UNIT 110",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017116",
            "telephone_number": "270-766-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602047",
            "telephone_number": "270-352-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.