Organization Active NPI

Physical Medical Associates of Wisconsin SC

Doing business as Matthew Kortes MD

  • Physical Medicine & Rehabilitation Physician
  • Fitchburg, WI
National Provider Identifier
1154002491
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSICAL MEDICAL ASSOCIATES OF WISCONSIN SC
Doing business as
Matthew Kortes MD
Practice address
5535 Nobel Dr
Fitchburg, WI 53711-4955
Phone
(999) 999-9999
NPI assigned
Jul 28, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Matthew James Kortes, MD
Title
Owner
Phone
(608) 340-8740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

5535 Nobel Dr
Fitchburg, WI 53711-4955

Mailing address

PO Box 680
Oconomowoc, WI 53066-0680

Other names 1

  • Matthew Kortes MD Doing business as

National Provider Directory

National Provider Directory

Locations

38 S Main St
Unit 680
Oconomowoc, WI 53066

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1154002491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530660680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 NOBEL DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537114955",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICAL ASSOCIATES OF WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "KORTES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-340-8740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew Kortes MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew Kortes MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.