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

Mr. Matthew Lee Debolt, PTA

Individual provider Physical Therapy Assistant · NPI 1730503327

Mr. Matthew Lee Debolt, PTA is a Physical Therapy Assistant in Roanoke, Indiana. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

11015 Yalumba Pass
Roanoke, IN 46783-8931
Phone: (260) 402-1968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 10320 (CA)

Record details

NPI number1730503327
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 18, 2014
Last updated in NPPESFebruary 18, 2014

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