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

Matthew Wilson, PT

Individual provider Physical Therapist · NPI 1790145217

Matthew Wilson, PT is a Physical Therapist in Private Practice in Indio, California. Qualified in 2015, 11 years ago. Practices with Mdrs Spine and Sport Inc, a 182-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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

82013 Dr Carreon Blvd Ste I
Indio, CA 92201-4832
Phone: (760) 347-6195
Fax: (760) 347-2849
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT291158 (CA)

Record details

NPI number1790145217
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 25, 2016
Last updated in NPPESFebruary 25, 2016
Mailing address1106 Walnut St, Suite 110, San Luis Obispo, CA 93401-2416

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mdrs Spine And Sport Inc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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