IndividualActive
Kyle Matheson, DPT
NPI 1952950883 · Physical Therapist · South Bend, IN
Provider details
- NPI number
- 1952950883
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 05013561A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
Street-level locationGet directions
Mailing address
53880 Carmichael Dr
South Bend, IN 46635-1567
Additional practice locations (1)
- 60160 Bodnar BlvdMishawaka, IN 46544-9338Phone: (574) 247-9441Fax: (574) 247-9442
Registry dates
- Enumerated
- 2019-09-04
- Last updated
- 2019-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.