Matthew G Burress, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209263 Issued in VA

Practice address

456 Charles H Dimmock Pkwy
Colonial Heights, VA 23834-2936

Phone

(804) 520-8366

Fax

(804) 520-8368

NPI assigned

Feb 6, 2015

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alliance Rehab and Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1568840957
  NPD (past)
• Hand Therapy Experts, LLC

  • Occupational Therapist
  • Burke, VA
  • NPI 1366860280
  NPD (past)

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1982095402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT",
            "address_2": "STE 203",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151672",
            "telephone_number": "703-239-2300",
            "fax_number": "703-239-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 CHARLES H DIMMOCK PKWY",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342936",
            "telephone_number": "804-520-8366",
            "fax_number": "804-520-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRESS",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K949 - 0076",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECT ACCESS CERTIFICATION",
            "identifier": "2307001177",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura D Brooks, FNP-C
• Charita Brown, L.M.T, M.M.P
• Darryl Jenelle Brown
• Glenice Allena Burchard, PSY.D.
• Anna Kate Burke
• C & Z Creative Zen, LLC
• Cab King Inc (Boulevard Cab)
• Caldwell Pediatrics and Wellness Center PC
• David C Cangcuesta, MD
• Damon Cannady, REGISTERED OPTICIAN

• Physical Therapist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.