Individual provider Active NPI

Matthew Dylan Spears, MSPT

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1952407447
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4079 Issued in OK
Practice address
3341 S Elm PL
Broken Arrow, OK 74012-7924
Phone
(918) 449-1332
Fax
(918) 449-8732
NPI assigned
Sep 15, 2006
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 4079 OK Primary
Physical Therapist 225100000X 1169942 TX

Addresses

Primary practice location

3341 S Elm PL
Broken Arrow, OK 74012-7924

Mailing address

3341 S Elm PL
Broken Arrow, OK 74012-7924
Phone (918) 449-1332

Other practice location 1

122 W 4th Ave
Bristow, OK 74010-2823
Phone (918) 771-3830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327001707 OK Practitioner - Physical Therapist in Private Practice 8224130448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1200
Tulsa, OK 74136-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4079OKMDProsthodontist
1169942TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Arrow Physical Therapy Limited Partnership Past Accepting new patients
Premier Rehab, P.C. Physical Therapist PastSince Dec 22, 2013 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1952407447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127924",
            "telephone_number": "918-449-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127924",
            "telephone_number": "918-449-1332",
            "fax_number": "918-449-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Bristow",
            "state": "OK",
            "postal_code": "740102823",
            "country_code": "US",
            "telephone_number": "918-771-3830",
            "fax_number": "918-771-3835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "MATTHEW",
        "middle_name": "DYLAN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4079",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1169942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.