| Matthew Ray Dewall, MPT CSCS | |
| 
					1507 North 1st St, Indianola, IA 50125  | |
| (515) 382-3366 | |
| (515) 382-1576 | 
| Full Name | Matthew Ray Dewall | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 1507 North 1st St, Indianola, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194782961 | NPI | - | NPPES | 
| 36592 | Other | IA | BCBS IND | 
| 46363 | Other | IA | BCBS GR & MADRID | 
| 46364 | Other | IA | BCBS AH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 03373 (Iowa) | Primary | 
| Provider Name | 21st Century Rehab Pc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1114963154 PECOS PAC ID: 1456250448 Enrollment ID: O20250411001117  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Ray Dewall, MPT CSCS Po Box 461, Nevada, IA 50201-0461 Ph: (515) 382-3366  | Matthew Ray Dewall, MPT CSCS 1507 North 1st St, Indianola, IA 50125 Ph: (515) 382-3366  | 
Aaron Thomas Heitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1709 N Jefferson Way Ste 100, Indianola, IA 50125 Phone: 515-962-9272 Fax: 515-962-9282  | |
Trisha Ann Gehler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 North Jefferson, Indianola, IA 50125 Phone: 515-643-9109 Fax: 515-643-9138  | |
Jessica L Nelson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1507 N 1st St, Indianola, IA 50125 Phone: 515-961-7435 Fax: 515-961-7436  | |
Megan N Hall, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1507 N 1st St, Indianola, IA 50125 Phone: 515-961-7435 Fax: 515-961-7436  | |
Kelsey Beyer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1709 N Jefferson Way Ste 100, Indianola, IA 50125 Phone: 515-962-9272  | |
Alexandria Lynn Gudenkauf,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 1709 N Jefferson Way Ste 100, Indianola, IA 50125 Phone: 515-962-9272  |