DR. MATTHEW LOUIS ZEMMELMAN DPT
NPI 1326362062
Physical Therapist in Sanford, NC
About Dr. Matthew Louis Zemmelman Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW LOUIS ZEMMELMAN DPT (NPI 1326362062) is an individual physical therapist in Sanford, North Carolina, licensed in North Carolina (17843) and active in the NPI registry since March 2010. He is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Matthew Louis Zemmelman Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Zemmelman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cary, NC 27513
- Reassigned Medicare billing, North Carolina enrollment
- 147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANFORD, NC 27330
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Zemmelman's NPI number?
The NPI number for Matthew Zemmelman is 1326362062. It was assigned to this individual provider in the NPPES registry on March 24, 2010.
Where is Matthew Zemmelman located?
Matthew Zemmelman practices at 1301 Carthage St, Sanford, NC 27330. The listed phone number is (984) 206-2100.
What is Matthew Zemmelman's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Matthew Zemmelman enrolled in Medicare?
Yes. Matthew Zemmelman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Matthew Zemmelman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Zemmelman reassigns Medicare benefits to Breakthrough Physical Therapy Inc (Cary, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Zemmelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Zemmelman accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Matthew Zemmelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Matthew Zemmelman was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.