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

Matthew Vidal Fernandez, PT

Individual provider Physical Therapist · NPI 1851001077

Matthew Vidal Fernandez, PT is a Physical Therapist in Private Practice in Aztec, New Mexico. Qualified in 2020, 6 years ago. Practices with Physical Therapy and Sports Medicine of Northern New Mexico, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
6
Licensed in
NM
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

505 N Main Ave
Aztec, NM 87410-1942
Phone: (505) 334-9616
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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 PT22009 (NM)

Record details

NPI number1851001077
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 29, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Physical Therapy And Sports Medicine Of Northern New Mexico, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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