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

Matthew Taylor Vander Kooi, DPT

Individual provider Physical Therapist · NPI 1477104529

Matthew Taylor Vander Kooi, DPT is a Physical Therapist in Private Practice in Surprise, Arizona. Qualified in 2019, 7 years ago. Practices with Tuohy Physical Therapy LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
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

16811 N Litchfield Rd Ste 101
Surprise, AZ 85374-7062
Phone: (623) 322-0654
Fax: (623) 322-0664
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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 LPT-30902 (AZ)

Record details

NPI number1477104529
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 20, 2019
Last updated in NPPESSeptember 20, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tuohy Physical Therapy Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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