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

Matthew J Warren

Individual provider Physical Therapist · NPI 1205425402

Matthew J Warren is a Physical Therapist in Private Practice in Covington, Louisiana. Qualified in 2016, 10 years ago. Practices with Dynamic Physical Therapy Services LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
10
Licensed in
LA
In the registry since
2021

Practice location Address checks out

129 Corporate Dr
Covington, LA 70433-1057
Phone: (985) 249-6111
Fax: (985) 249-6109
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT09386 (LA)

Record details

NPI number1205425402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address129 Corporate Dr, Covington, LA 70433-1057

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Dynamic Physical Therapy Services Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Covington