Individual provider Active NPI

Matthew Johnston, DPT

  • Orthopedic Physical Therapist
  • Washington, DC
National Provider Identifier
1770036402
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT025321 Issued in PA
Practice address
555 13TH St NW Ste C112
Washington, DC 20004-1141
Phone
(215) 712-0300
NPI assigned
Jul 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 PT025321 PA Primary

Addresses

Primary practice location

555 13TH St NW Ste C112
Washington, DC 20004-1141

Mailing address

555 13TH St NW Ste C112
Washington, DC 20004-1141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120000364 DC Practitioner - Physical Therapist in Private Practice 3779870811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Set Sports Physical Therapy, PLLCGroup PAC ID 5991876724, 6 clinicians

Practice addresses (Care Compare)

555 13TH St NW
Suite C112
Washington, DC 20004-1141
Phone (202) 347-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025321PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Orthopedic CurrentSince Jan 1, 2019 Accepting new patients
Set Sports Physical Therapy PLLC Orthopedic CurrentSince Nov 6, 2024 Accepting new patients
Set Sports Physical Therapy Past Accepting new patients

Locations

2401 M St NW
Washington, DC 20037
Phone (202) 347-1480

555 13th St NW
Ste C112
Washington, DC 20004
Phone (202) 210-1131

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1500 Horizon Dr
Ste 102E
Chalfont, PA 18914
Phone (215) 712-0300

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

466 Germantown Pike
Ste 200
Lafayette Hill, PA 19444
Phone (610) 832-7510

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1770036402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 13TH ST NW STE C112",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200041141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 13TH ST NW STE C112",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200041141",
            "telephone_number": "215-712-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT025321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.