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

Mikayla Matos, DPT

Individual provider Physical Therapist · NPI 1255258455

Mikayla Matos, DPT is a Physical Therapist in Private Practice in Pawtucket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2026.

Licensed in
RI
In the registry since
2026
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

21 Division St
Pawtucket, RI 02860-5352
Phone: (401) 226-0545
Fax: (401) 721-5214
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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 PT04142 (RI)

Record details

NPI number1255258455
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address4 Richmond Sq, Providence, RI 02906-5117

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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