Search › Pennsylvania › 225100000X
Matthew Detore, MPT
NPI 1538498217 · on the registry since 2009 · sole proprietor
Practice
- Address
- 6595 Roosevelt Blvd
B
Philadelphia, PA 19149 - Phone
- (215) 743-2332
- Fax
- (215) 743-2330
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania