Individual provider Active NPI

Matthew Wells Richter

  • Physical Therapist
  • Beaufort, NC
National Provider Identifier
1780134072
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22635 Issued in NC
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

Updated by the provider on Jan 27, 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 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 IDStateProvider typePAC IDDetails
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 726 clinicians

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

LicenseStateTypeSpecialty
P22635NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Jan 6, 2025 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Jan 6, 2025 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.

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.

Verify at the official NPI Registry.