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

Matthew M Pennucci, DPT

Individual provider Physical Therapist · NPI 1922591403

Matthew M Pennucci, DPT is a Physical Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
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

4251 Lahmeyer Rd
Fort Wayne, IN 46815-5676
Phone: (260) 482-7800
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05012923A (IN)

Record details

NPI number1922591403
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 11, 2018
Last updated in NPPESJune 11, 2018

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