Matthew Douglas Whittemore, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0003615 Issued in DE

Practice address

1651 Pulaski Hwy
Bear, DE 19701-1453

Phone

(302) 834-1550

NPI assigned

Aug 15, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Clinic IncGroup PAC ID 7810898970, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Physical Therapy Clinic Inc

  • Physical Therapist
  • Jacksonville, NC
  • NPI 1285679373
  Medicare reassignment Care Compare group NPD
• Dynamic Physical Therapy

  • Physical Therapist
  • Bear, DE
  • NPI 1306875984
  NPD (past)
• Butler Family Chiropractic, PLLC

  • Chiropractor
  • Jacksonville, NC
  • NPI 1558134981
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1821464629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 FLINT HILL RD",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193501513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011453",
            "telephone_number": "302-834-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEMORE",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-15",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Marie West
• Kristen West
• Westside Family Healthcare, Inc
• Lora White-Green, BSN, RN
• Kimberly N White
• Tracy Lynn Wiebking, PT
• Mark Anthony Wieczorek, D.M.D.
• Willey Pharmacy LLC
• Brandy Leigh Willey, PHARMD
• Brooke Diana Williams

• Physical Therapist in Bear, DE
• Providers in Bear, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.