MEDICARE: MR. MATTHEW DAVID MEDEIROS 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
1	225100000X	Physical Therapist	PT02612	RI

General Provider Information

NPI Number	:	1982036737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW DAVID MEDEIROS DPT

Provider Business Mailing Address
First Line	:	4 RICHMOND SQ
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02906-5117
Country	:	US
Telephone Number	:	401-433-4172
Fax Number	:	401-433-0612

Provider Business Practice Location Address
First Line	:	300 INDUSTRIAL WAY FL 3
Second Line	:
City	:	TIVERTON
State	:	RI
Zip	:	02878-3133
Country	:	US
Telephone Number	:	401-375-2300
Fax Number	:	401-240-1410

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

Provider Enumeration Date	:	08/04/2013
Last Update Date	:	10/30/2025

Similar Medicare Providers

1306655253 — AESTHETIC HAVEN
Practice Location Address:

300 INDUSTRIAL WAY , FL 3, SUITE 4, ROOM 4
TIVERTON, RI
02878-3133

Practice Phone: 401-535-6104
Practice Fax: 401-340-1885

1346563467 — MRS. LOUISE HUMPHREY-ARRUDA LAT, ATC, LMT, BCMTB
Practice Location Address:

300 INDUSTRIAL WAY
TIVERTON, RI
02878-3133

Practice Phone: 401-486-7379
Practice Fax:

1053830307 — DR. SARAH NOELLE SHAVER DPT
Practice Location Address:

300 INDUSTRIAL WAY FL 3
TIVERTON, RI
02878-3133

Practice Phone: 401-726-7100
Practice Fax: 401-240-1410

1073264156 — SILVER FERN PRACTICE, LLC
Practice Location Address:

300 INDUSTRIAL WAY FL 3
TIVERTON, RI
02878-3133

Practice Phone: 401-726-7100
Practice Fax:

1063165785 — SAMANTHA R TURCOTTE DNP, MSN, APRN, FNP
Practice Location Address:

300 INDUSTRIAL WAY FL 3
TIVERTON, RI
02878-3133

Practice Phone: 401-535-6104
Practice Fax: 401-340-1885

1063858561 — MR. BENJAMIN SEARS RN
Practice Location Address:

301 STATE AVE
TIVERTON, RI
02878-1062

Practice Phone: 774-300-3444
Practice Fax:

Directions to “ MR. MATTHEW DAVID MEDEIROS DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.