Matthew Kristopher Peters, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207579 Issued in VA

Practice address

135 Hanbury Rd W Ste B
Chesapeake, VA 23322

Phone

(757) 819-6512

Fax

(410) 648-4878

NPI assigned

Aug 9, 2012

Last updated

Nov 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

85.78

Promoting interoperability

99

Improvement activities

40

Cost

75.6

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4

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.

• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  Medicare reassignment Care Compare group NPD
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Gloucester, VA
  • NPI 1619992872
  NPD
• Sports Medicine and Orthopaedic Center

  • Physical Therapist
  • Chesapeake, VA
  • NPI 1386303832
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1932456829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-560-5595",
            "fax_number": "804-560-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HANBURY RD W STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23322",
            "telephone_number": "757-819-6512",
            "fax_number": "410-648-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1849 Old Donation Pkwy",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23454",
            "country_code": "US",
            "telephone_number": "757-422-8476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Nat Turner Blvd S",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236063074",
            "country_code": "US",
            "telephone_number": "757-596-1900 x349",
            "fax_number": "866-420-0168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1849 Old Donation Pkwy",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23454",
            "country_code": "US",
            "telephone_number": "757-422-8476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MATTHEW",
        "middle_name": "KRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Therapy (Restore At Home Therapy)
• Melissa Pervere, PA
• Javaid A. Perwaiz, M.D.
• Melanie M Petchel, CPNP
• Peter Adams DDS, Inc
• Donita Sade' Peterson, MSW, LMHP-S
• Shawnte Latryce Peterson, LMT, MPH, CHES
• Petersons Empowerment Services LLC
• Virginia Ellen Petree, D.C.
• Michael Petruschak, M.D.

• Physical Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.