Individual
MATTHEW STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17159
WI
261QP2000X
Physical Therapy Clinic/Center
17159-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100328994
—
WI
Enumeration date
05/27/2025
Last updated
11/17/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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