Matthew Marvin Pechacek, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14615-24 Issued in WI

Practice address

2 W Main St Ste 106
Belleville, WI 53508-9428

Phone

(608) 424-6800

NPI assigned

Apr 28, 2019

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• GL Rehabilitation Services LTD

  • Physical Therapist
  • Evansville, WI
  • NPI 1205880879
  NPD (past)

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1245894922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 VALOR WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537186986",
            "telephone_number": "651-500-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W MAIN ST STE 106",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089428",
            "telephone_number": "608-424-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4602 Eastpark Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537182002",
            "country_code": "US",
            "telephone_number": "608-440-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Science Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537111074",
            "country_code": "US",
            "telephone_number": "608-263-4765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151507",
            "country_code": "US",
            "telephone_number": "608-417-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECHACEK",
        "first_name": "MATTHEW",
        "middle_name": "MARVIN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-28",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "14615-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14615-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Marie Nelson, RN BSN
• Bobbi Jo Marie Nichols, MSSW, APSW
• Kati J Niekerk, LMSW
• Tera O'Connor, LMFT
• Stephen W. Olcott, M.D.
• Ashley Pierstorff, LPN
• Christa A Pittner-Smith, MD
• Makenzi Taylor Rasmussen, MSW
• Eric Raymond Reetz, MD
• Richard Guy Roberts, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.