SPENCER MATT (PT, DPT) – Physical Therapist, NPI 1457031023

SPENCER MATT (PT, DPT) is a healthcare provider. based in Kirkland, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 61458829 (WA). The NPI Number for SPENCER MATT (PT, DPT) is 1457031023

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER MATT (PT, DPT)
NPI
1457031023
Phone
(509) 638-9328
Address
12736 NE 116TH LN APT L33
Enumeration Date
19 July 2023
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4252359505
Graduation Year
2023 (3 years ago)
PAC ID
7810341575
Group Practice PAC ID
6305737479
Professional Enrollment ID
I20230928002206
Address ID
WA980594675RE451XXNEXX409
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for SPENCER MATT (PT, DPT)

  • 12736 NE 116TH LN APT L33

    KIRKLAND, WA 980348427

    Phone: (509) 638-9328

    Type: Mailing

  • 451 DUVALL AVE NE

    RENTON, WA 980594675

    Phone: (425) 235-9505

    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: 2023-09-28

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
I20230928002206IPhysical Therapist In Private PracticeWATBD

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 98034)

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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: 6305737479View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-VA
-WA
-OR
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Does SPENCER MATT (PT, DPT) have a public NPI I can cite?
Public records show SPENCER MATT (PT, DPT) under NPI 1457031023.
Quick check: is SPENCER MATT (PT, DPT) active?
Public NPPES data shows SPENCER MATT (PT, DPT) with an active NPI status right now.
What type of care does SPENCER MATT (PT, DPT) provide?
SPENCER MATT (PT, DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to SPENCER MATT (PT, DPT)?
The directory associates SPENCER MATT (PT, DPT) with Kirkland, Washington. Check all listed addresses for suites or satellite offices.
Why is information missing for SPENCER MATT (PT, DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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