Reddick Ray Matulac Terre, PT
NPI 1184464653ActiveIndividual· Physical Therapist· Fayetteville, GA
Physical Therapist (PT) with Benchmark Physical Therapy, Inc, practicing in Fayetteville, Georgia. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1184464653 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | May 30, 2024 |
| Last updated in NPPES | Aug 26, 2026 |
| Certified by provider | Aug 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT017576 | GA |
| Physical Therapist | 225100000X | 12114 | CT |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Benchmark Physical Therapy, IncJonesboro, GA · 68 clinicians
Other physical therapists in Fayetteville
- 1013072743
- 1023687035
- 1083470868
- 1104278639
- 1164770434
- 1194341412
- 1215440599
- 1225147820
- 1316532252
- 1457583882
- 1457686917
- 1467888560
All 92 physical therapists in Fayetteville · All physical therapists in Georgia