MATTHEW GLENN EDWARDS – Occupational Therapist, NPI 1023104619

MATTHEW GLENN EDWARDS is a healthcare provider. based in St george, Utah. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5153775-4201 (UT). The NPI Number for MATTHEW GLENN EDWARDS is 1023104619

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW GLENN EDWARDS
NPI
1023104619
Phone
(435) 251-1000
Address
1380 e. medical center drive
Enumeration Date
4 October 2006
Last Update Date
1 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352512250
Graduation Year
1999 (27 years ago)
PAC ID
7214384742
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20231106001358
Address ID
UT847907269ST652XXDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

156 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for MATTHEW GLENN EDWARDS

  • 1380 e. medical center drive

    st george, UT 84770

    Phone: (435) 251-1000

    Fax: (435) 688-4002

    Type: Location

  • Medical Center Drive, St. George, Washington County, Utah, 84790, United States

    ST GEORGE, UT 84770

    Phone: (435) 251-1000

    Fax: (435) 688-4002

    Type: Mailing

  • PO BOX 25537

    SALT LAKE CITY, UT 841250537

    Phone:

    Type: Mailing

  • 652 S MEDICAL CENTER DR STE LL10

    ST GEORGE, UT 847907269

    Phone: (435) 251-2250

    Fax: (435) 251-2255

    Type: Location

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: 2023-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20231106001358IOccupational Therapist In Private PracticeUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7015$0
View full utilization report →

Insurance plans in this area (ZIP 84770)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MATTHEW GLENN EDWARDS in U.S. healthcare records?
The official identifier for MATTHEW GLENN EDWARDS is NPI 1023104619.
Active or inactive — what applies to MATTHEW GLENN EDWARDS?
You should see MATTHEW GLENN EDWARDS as active in CMS-hosted NPPES data.
How would a patient describe MATTHEW GLENN EDWARDS's focus?
For MATTHEW GLENN EDWARDS, the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is MATTHEW GLENN EDWARDS associated with St George?
Public fields place MATTHEW GLENN EDWARDS around St George, Utah. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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