Individual provider Active NPI

Matthew Walter Matovu, DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1861759664
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT210002152 Issued in DC
Practice address
2112 F St NW Ste 305
Washington, DC 20037-2761
Phone
(202) 912-8480
Fax
(202) 912-8484
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24899 MD
Physical Therapist 225100000X PT210002152 DC Primary

Addresses

Primary practice location

2112 F St NW Ste 305
Washington, DC 20037-2761

Mailing address

2112 F St NW Ste 305
Washington, DC 20037-2761
Phone (202) 912-8480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218001825 DC Practitioner - Physical Therapist in Private Practice 7911271903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

2112 F St NW
Suite 305
Washington, DC 20037-2761
Phone (202) 912-8480

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT210002152DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics LLC CurrentSince Jan 7, 2021 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 22, 2022 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Sep 24, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 7, 2021 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 22, 2022 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

2112 F St NW
Ste 305
Washington, DC 20037
Phone (202) 251-7232

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

14995 Shady Grove Rd
Ste 350
Rockville, MD 20850
Phone (301) 294-0050

7611 Crain Hwy
#C170
Upper Marlboro, MD 20772

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 9

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1861759664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 305",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372761",
            "telephone_number": "202-912-8480",
            "fax_number": "202-912-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 305",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372761",
            "telephone_number": "202-912-8480",
            "fax_number": "202-912-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOVU",
        "first_name": "MATTHEW",
        "middle_name": "WALTER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24899",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT210002152",
            "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 Feb 22, 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.