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

Matthew Dittus

Individual provider Physical Therapist · NPI 1104409853

Matthew Dittus is a Physical Therapist in Private Practice in Kingston, New York. Graduated from Mercy College in 2021, 5 years ago. Practices with Kingston Physical Therapy and Sports Rehab PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
Mercy College
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

340 Plaza Rd
Kingston, NY 12401-2975
Phone: (845) 339-4722
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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 047137 (NY)

Record details

NPI number1104409853
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESAugust 6, 2023
Certification dateAugust 6, 2023
Mailing address340 Plaza Rd, Kingston, NY 12401-2975

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMERCY COLLEGE
Graduated 2021 (5 years in practice)
Group practice Kingston Physical Therapy And Sports Rehab Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingston