Provider Demographics
NPI:1952380735
Name:GARET, MATTHEW (DPT)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:GARET
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 1:2021 K ST. NW
Mailing Address - Street 2:STE. 215
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006
Mailing Address - Country:US
Mailing Address - Phone:202-466-9719
Mailing Address - Fax:202-466-9465
Practice Address - Street 1:2021 K ST. NW
Practice Address - Street 2:STE. 215
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006
Practice Address - Country:US
Practice Address - Phone:202-466-9719
Practice Address - Fax:202-466-9465
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870473225100000X
NC13075225100000X
DC870473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCF8710013OtherCAREFIRST BLUE CROSS BLUE SHIELD
DC021168P88Medicare PIN