Matthew Koester, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14705-24 Issued in WI

Practice address

6649 University Ave Ste 100
Middleton, WI 53562-3021

Phone

(608) 841-1290

Fax

(608) 841-1299

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Impact Physical Therapy & Performance LLC

  • Physical Therapy Clinic/Center
  • Verona, WI
  • NPI 1821649088
  NPD Authorized official

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1245889229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W4850 PEMBRIDGE TRL",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668745",
            "telephone_number": "608-293-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 UNIVERSITY AVE STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623021",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cross Plains",
            "state": "WI",
            "postal_code": "535289477",
            "country_code": "US",
            "telephone_number": "608-413-0550",
            "fax_number": "608-413-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14705-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "clinic@proptgroup.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Clinic Website",
            "address_1": "1118 Main St Ste A",
            "city": "Cross Plains",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535289477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Ann Taapken Klabough, MFT
• Malinda Kleemann
• Tracy A Klein, O.D.
• Andrea Klopp
• Gregory J Koehler, LCSW
• Karen Ann Kohls, PT
• Valeria Kolison
• Emily Komoroske, P.T.
• Kelsey Leigh Kornaus, OTR
• Steven S Koslov, MD

• Physical Therapist in Middleton, WI
• Providers in Middleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.