Active NPI
Matthew Orzelek, PT, DPT
- Physical Therapist
- Jesup, GA
National Provider Identifier
1740913417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017096
- Practice address
- 3100 Savannah Hwy
Jesup, GA 31545-5514 - Phone
- (912) 427-6873
- NPI assigned
- Jul 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61320014 | WA | |
| Physical Therapist | 225100000X | 017096 | GA | Primary |
Addresses
Primary practice location
3100 Savannah Hwy
Jesup, GA 31545-5514
Mailing address
147 Fernwood Dr
Glenview, IL 60025-4886
Phone (224) 616-9952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017096 | GA | MD | Physical Therapist |
| 61320014 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1740913417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 FERNWOOD DR",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254886",
"telephone_number": "224-616-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SAVANNAH HWY",
"city": "JESUP",
"state": "GA",
"postal_code": "315455514",
"telephone_number": "912-427-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORZELEK",
"first_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-08",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61320014",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "017096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jesup, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.