Matthew James Fitzer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3630 Hickory Rd
Mishawaka, IN 46545-8865

Phone

(574) 252-7225

NPI assigned

Jun 17, 2020

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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creative Health Care Management LLCGroup PAC ID 4385929892, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Creative Health Care Management LLC

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457
  Medicare reassignment Care Compare group NPD
• Creative Health Care Management LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975
  NPD
• Yugo Physicaltherapy & Sports Rehab

  • Physical Therapist
  • Mishawaka, IN
  • NPI 1427227115
  NPD (past)

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1962028845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W CLEVELAND RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305638",
            "telephone_number": "574-271-8424",
            "fax_number": "574-271-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HICKORY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458865",
            "telephone_number": "574-252-7225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 W Cleveland Rd",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465305638",
            "country_code": "US",
            "telephone_number": "574-271-8424",
            "fax_number": "574-271-8425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 N Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465631664",
            "country_code": "US",
            "telephone_number": "574-540-2464",
            "fax_number": "574-566-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZER",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018676",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Keeley Fisher
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• Jennifer Fitzpatrick Monts, FNP-BC
• Deborah A Fleming, D.M.D.
• Jalind Flint
• Caitlin Floor
• Audrey Flora, LCSW

• Physical Therapist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.