Provider Demographics
NPI:1942076690
Name:MATTHEWS, ALEXANDER COLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:COLE
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 SANDELWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-5235
Mailing Address - Country:US
Mailing Address - Phone:937-546-1621
Mailing Address - Fax:
Practice Address - Street 1:8412 OLD TROY PIKE
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-1030
Practice Address - Country:US
Practice Address - Phone:937-235-0068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT020826225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist