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

Matthew Donnelly

Individual provider Physical Therapy Assistant · NPI 1639623804

Matthew Donnelly is a Physical Therapy Assistant in Gambrills, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2016
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Practice location Address checks out

1219 Waugh Chapel Rd
Gambrills, MD 21054-1608
Phone: (904) 451-8334
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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 A4479 (MD)

Record details

NPI number1639623804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 5, 2016
Last updated in NPPESAugust 5, 2016

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