MATTHEW WATSON (PT) – Physical Therapist, NPI 1609283225

MATTHEW WATSON (PT) is a healthcare provider. based in Fayetteville, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT011809 (GA). The NPI Number for MATTHEW WATSON (PT) is 1609283225

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW WATSON (PT)
NPI
1609283225
Phone
(770) 460-8609
Address
1275 HIGHWAY 54 W
Enumeration Date
15 July 2014
Last Update Date
29 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9405148490
Graduation Year
2014 (12 years ago)
PAC ID
0446471932
Group Practice PAC ID
3274998224
Professional Enrollment ID
I20240531000332
Address ID
TX762012331DE2535XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MATTHEW WATSON (PT)

  • 1275 HIGHWAY 54 W

    STE 200

    FAYETTEVILLE, GA 302144549

    Phone: (770) 460-8609

    Fax: (770) 460-8629

    Type: Location

  • 4 CHAMBERS SQ

    VALLEY, AL 368542800

    Phone: (205) 259-3991

    Fax: (205) 876-8063

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141027001505IPhysical Therapist In Private PracticeALTBD
I20240531000332IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30214)

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Provider's Procedures

MATTHEW WATSON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes96869
PHYSICAL THERAPYGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes37250

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274998224View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Does MATTHEW WATSON (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MATTHEW WATSON (PT) uses 1609283225.
Can I rely on MATTHEW WATSON (PT) being an active provider?
As of the registry snapshot, MATTHEW WATSON (PT) is marked active.
What taxonomy line describes MATTHEW WATSON (PT)?
For research purposes, treat MATTHEW WATSON (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MATTHEW WATSON (PT) serve?
MATTHEW WATSON (PT)'s listing highlights Fayetteville, Georgia; more addresses can appear in NPPES.
Is the information about MATTHEW WATSON (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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