Individual provider Active NPI

Matthew Thomas Hirn, DPT

  • Physical Therapist
  • Lake Elmo, MN
National Provider Identifier
1245768944
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10896 Issued in MN
Practice address
3511 Lake Elmo Ave N Ste 100
Lake Elmo, MN 55042-8484
Phone
(715) 432-3608
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10896 MN Primary
Physical Therapist 225100000X

Addresses

Primary practice location

3511 Lake Elmo Ave N Ste 100
Lake Elmo, MN 55042-8484

Mailing address

PO Box 20
Lake Elmo, MN 55042-0020
Phone (715) 432-3608

Other practice location 1

1710 Suburban Ave
Saint Paul, MN 55106-6636
Phone (651) 254-3200

Other practice location 2

8650 Hudson Blvd N Ste 300
Lake Elmo, MN 55042-8451
Phone (763) 957-7742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10896MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive HQ CurrentSince Jan 31, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1245768944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550420020",
            "telephone_number": "715-432-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 LAKE ELMO AVE N STE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428484",
            "telephone_number": "715-432-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Suburban Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551066636",
            "country_code": "US",
            "telephone_number": "651-254-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8650 Hudson Blvd N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550428451",
            "country_code": "US",
            "telephone_number": "763-957-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10896",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.