Active NPI
Matthew Wells Richter
- Physical Therapist
- Beaufort, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22635
- Practice address
- 105 Professional Park Dr
Beaufort, NC 28516-2418 - Phone
- (252) 726-1802
- Fax
- (252) 726-1805
- NPI assigned
- Oct 11, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22635 | NC | Primary |
Addresses
Primary practice location
105 Professional Park Dr
Beaufort, NC 28516-2418
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (252) 726-1802
Other practice location 1
2817 Reilly St
Womack Army Medical Center
Fort Bragg, NC 28310-7324
Phone (910) 907-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250421001331 | NC | Practitioner - Physical Therapist in Private Practice | 5890210066 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Baylor College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergeortho PA
Practice addresses (Care Compare)
105 Professional Park Dr
Beaufort, NC 28516-2418
Phone (252) 726-1802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22635 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
Locations
105 Professional Park Dr
Beaufort, NC 28516
Phone (252) 838-1204
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1780134072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "252-726-1802",
"fax_number": "252-726-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PROFESSIONAL PARK DR",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285162418",
"telephone_number": "252-726-1802",
"fax_number": "252-726-1805"
}
],
"practiceLocations": [
{
"address_1": "2817 Reilly St",
"address_2": "Womack Army Medical Center",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "NC",
"postal_code": "283107324",
"country_code": "US",
"telephone_number": "910-907-8922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHTER",
"first_name": "MATTHEW",
"middle_name": "WELLS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.