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NPI Code Detail

MEDICARE: MATTHEW SMITH PT, DPT

MEDICARE:   MATTHEW  SMITH  PT, DPT
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
1225100000XPhysical Therapist2305213915VA

General Provider Information

NPI Number : 1851994875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW SMITH PT, DPT
Provider Business Mailing Address
First Line : 6208 MONTROSE RD
Second Line :
City : ROCKVILLE
State : MD
Zip : 20852-4119
Country : US
Telephone Number : 301-468-9343
Fax Number :
Provider Business Practice Location Address
First Line : 5421 PATTERSON AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23226-2003
Country : US
Telephone Number : 804-288-0643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2020
Last Update Date : 01/05/2026

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