MATTHEW GORDON (DPT) – Physical Therapist, NPI 1275055071

MATTHEW GORDON (DPT) is a healthcare provider. based in Woodbridge, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2305211209 (VA). The NPI Number for MATTHEW GORDON (DPT) is 1275055071

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW GORDON (DPT)
NPI
1275055071
Phone
(703) 730-6969
Address
12544 DILLINGHAM SQ
Enumeration Date
13 July 2017
Last Update Date
13 July 2017

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5407100100
Graduation Year
2017 (9 years ago)
PAC ID
0648519819
Group Practice PAC ID
5092093575
Professional Enrollment ID
I20190305003391
Address ID
VA224079435FR4701XPKWY303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for MATTHEW GORDON (DPT)

  • 12544 DILLINGHAM SQ

    WOODBRIDGE, VA 221925259

    Phone: (703) 730-6969

    Fax: (703) 730-1169

    Type: Mailing

  • 12731 MARBLESTONE DR STE 202

    WOODBRIDGE, VA 221928334

    Phone: (571) 659-2612

    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: 2024-06-05

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
I20190305003391IPhysical Therapist In Private PracticeVATBD
I20240605001742IPhysical Therapist In Private PracticeDCTBD

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 minutes36529$0
97140Therapy procedure using manual technique, each 15 minutes29225$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19717$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care14618$0
97162Evaluation for physical therapy, typically 30 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 22192)

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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: 5092093575View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What is the registry number for MATTHEW GORDON (DPT)?
The registry entry for MATTHEW GORDON (DPT) shows NPI 1275055071.
Does the public listing show MATTHEW GORDON (DPT) as active?
MATTHEW GORDON (DPT)'s NPI record reflects an active status in NPPES.
Which specialty label fits MATTHEW GORDON (DPT)?
NPPES ties MATTHEW GORDON (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MATTHEW GORDON (DPT)?
MATTHEW GORDON (DPT) is associated with Woodbridge, Virginia in the same public data insurers reference.
Who maintains MATTHEW GORDON (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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