MEDICARE: MATTHEW DRISCOLL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL.0018413	CO

General Provider Information

NPI Number	:	1033051149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW DRISCOLL PT

Provider Business Mailing Address
First Line	:	1425 SWEET CREEK LN APT 408
Second Line	:
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-9664
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9051 SSG CHRIS FALKEL DR UNIT 150
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-3191
Country	:	US
Telephone Number	:	720-213-4451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ MATTHEW DRISCOLL PT” Practice Location

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