Individual provider Active NPI

Matthew Davis, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1881364537
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1100 S Christopher Columbus Blvd Ste 25
Philadelphia, PA 19147-5513
Phone
(267) 592-4508
Fax
(215) 467-2408
NPI assigned
Sep 15, 2021
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT029791 PA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1100 S Christopher Columbus Blvd Ste 25
Philadelphia, PA 19147-5513

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

1608 Walnut St Ste 200
Philadelphia, PA 19103-5426
Phone (215) 545-8717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, IN, MA, SC, DC, MD7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20211005002310 PA Practitioner - Physical Therapist in Private Practice 5698173672 Reassigns benefits to 4 organizations
I20250210001228 DE Practitioner - Physical Therapist in Private Practice 5698173672 Reassigns benefits to 1 organization
I20250224001902 IN Practitioner - Physical Therapist in Private Practice 5698173672 Reassigns benefits to 1 organization
I20250404000638 MA Practitioner - Physical Therapist in Private Practice 5698173672 Reassigns benefits to 1 organization
I20250625003883 SC Practitioner - Physical Therapist in Private Practice 5698173672 Reassigns benefits to 2 organizations
I20250716000059 DC Practitioner - Physical Therapist in Private Practice 5698173672 Reassigns benefits to 1 organization
I20260505001570 MD Practitioner - Physical Therapist in Private Practice 5698173672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Carolina School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

100 Valley Ctr Rd
Wilmington, DE 19808-2950
Phone (302) 994-1200

101 University Dr
Suite A6
Amherst, MA 01002-2385
Phone (413) 336-5703

1100 S Christopher Columbus Blvd
Ati Physical Therapy
Philadelphia, PA 19147-5513
Phone (367) 592-4508

14 McGrath Hwy
Unit 5
Somerville, MA 02143-4505
Phone (617) 284-9418

1941 Savage Rd
Suite 300a
Charleston, SC 29407-4790
Phone (843) 402-1495

200 Patewood Dr
Suite C250
Greenville, SC 29615-3593
Phone (864) 454-0952

3111 Duke St
Suite 4
Alexandria, VA 22314-4518
Phone (571) 317-6792

5620 Michigan Rd
Suite a
Indianapolis, IN 46228-1750
Phone (317) 454-8593

7820 Wormans Mill Rd C
Ati Physical Therapy
Frederick, MD 21701-3037
Phone (240) 831-7664

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12818SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince May 29, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince Oct 15, 2021 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 15, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Apr 22, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Apr 22, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Apr 22, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince May 29, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Oct 15, 2021 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Apr 22, 2025 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations (25 of 29)

100 Valley Center Rd
Wilmington, DE 19808
Phone (302) 229-1986

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

33299 Collection Ctr Dr
Chicago, IL 60693

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1883 S US Highway 231
Crawfordsville, IN 47933
Phone (765) 225-2210

5620 Michigan Rd
#A
Indianapolis, IN 46228
Phone (317) 454-8593

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

7820 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (240) 831-7664

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

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

300 Welsh Rd
Bldg 1
Horsham, PA 19044

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410

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

1100 S Christopher Columbus Blvd
Ste 25
Philadelphia, PA 19147
Phone (267) 592-4508

1608 Walnut St
Ste 200
Philadelphia, PA 19103
Phone (215) 545-8717

180 W Girard Ave
Ste 1
Philadelphia, PA 19123
Phone (267) 592-4033

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1881364537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S CHRISTOPHER COLUMBUS BLVD STE 25",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475513",
            "telephone_number": "267-592-4508",
            "fax_number": "215-467-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Walnut St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191035426",
            "country_code": "US",
            "telephone_number": "215-545-8717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029791",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.