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

Individual provider Physical Therapist · NPI 1225765373

Matthew S Buntyn, DPT is a Physical Therapist in Private Practice in Vicksburg, Mississippi. Qualified in 2022, 4 years ago. Practices with Drayer Physical Therapy Mississippi LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
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.

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Practice location Address checks out

2480 S Frontage Rd Ste F
Vicksburg, MS 39180-5251
Phone: (601) 757-9799
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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 PT7412 (MS)

Record details

NPI number1225765373
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Drayer Physical Therapy Mississippi Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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