Provider Demographics
NPI:1376828905
Name:CABBAGE, MATTHEW S (DPT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:CABBAGE
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 1:7212 KINGSTON PIKE STE 105
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5956
Mailing Address - Country:US
Mailing Address - Phone:856-770-5100
Mailing Address - Fax:856-770-5101
Practice Address - Street 1:7212 KINGSTON PIKE STE 105
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5956
Practice Address - Country:US
Practice Address - Phone:856-770-5100
Practice Address - Fax:856-770-5101
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT-8780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist