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

Mr. Matthew Ryan Nickerson, PTDPT

Individual provider Physical Therapist · NPI 1164827044

Mr. Matthew Ryan Nickerson, PTDPT is a Physical Therapist in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

725 S Dobson Rd Ste 203
Chandler, AZ 85224-5679
Phone: (480) 807-6500
Fax: (480) 897-2700
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10936 (AZ)

Record details

NPI number1164827044
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESNovember 4, 2014

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