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

Matthew Staback, DPT

Individual provider Athletic Trainer · NPI 1649791518

Matthew Staback, DPT is a Physical Therapist in Private Practice in Middletown, New York. Qualified in 2022, 4 years ago. Practices with Middletown Medical PC, a 177-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2017
Specialties on file
2
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

1219 Dolsontown Rd
Middletown, NY 10940-4749
Phone: (845) 344-1899
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 048606 (NY)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1649791518
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 30, 2017
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022
Mailing address111 Maltese Dr, Middletown, NY 10940-2141

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 Middletown Medical Pc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown