Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Alexander Bevacqua, DPT

Individual provider Physical Therapist · NPI 1619358439

Matthew Alexander Bevacqua, DPT is a Physical Therapist in Draper, Utah. Practices as a sole proprietor. Licensed in Connecticut, District of Columbia, Delaware and Massachusetts and 6 more.

Licensed in
CT, DC, DE, MA, MD, ME
In the registry since
2015
Specialties on file
10
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone: (385) 308-8034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 25503 (MD)
Physical Therapist Taxonomy 225100000X · Licence PT03402 (RI)
Physical Therapist Taxonomy 225100000X · Licence PT5966 (ME)
Physical Therapist Taxonomy 225100000X · Licence 13136 (CT)
Physical Therapist Taxonomy 225100000X · Licence 25535 (MA)
Physical Therapist Taxonomy 225100000X · Licence 047378 (NY)
Physical Therapist Taxonomy 225100000X · Licence J1-0014396 (DE)
Physical Therapist Taxonomy 225100000X · Licence 40QA02019100 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 5501301792 (MI)
Physical Therapist Taxonomy 225100000X · Licence PT200001236 (DC)

Record details

NPI number1619358439
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 17, 2015
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096

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