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

Matthew Dewitt, DPT

Individual provider Physical Therapist · NPI 1063150357

Matthew Dewitt, DPT is a Physical Therapist in Private Practice in Ellisville, Missouri. Qualified in 2021, 5 years ago. Practices with Atr Justin LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

15882 Clayton Rd
Ellisville, MO 63011-2212
Phone: (636) 484-8084
Fax: (636) 484-8086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2022016698 (MO)

Record details

NPI number1063150357
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022
Mailing address14515 N Outer 40 Rd Ste 110, Chesterfield, MO 63017-5746

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Atr Justin Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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