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General NPI Number Information
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NPI Number | 1487588455
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Entity Type | Individual
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Provider Name | MATTHEW WINDHAM PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 13050 METRO PKWY
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City | FORT MYERS
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State | FL
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Zip | 33966-4800
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Country | US
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Telephone | 239-313-6109
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Fax |
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Provider Business Mailing Address
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Address Line | 390 BIRMINGHAM RIDGE RD
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City | BLUE SPRINGS
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State | MS
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Zip | 38828-9309
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Country | US
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Telephone | 662-603-4491
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 44810
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License Number State | FL
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