Active NPI
Matthew Agen, PT, DPT
- Physical Therapist
- Oneida, WI
National Provider Identifier
1265088942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13462-24
- Practice address
- 525 Airport Dr
Oneida, WI 54155-9035 - Phone
- (920) 869-2711
- NPI assigned
- Aug 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13462-24 | WI | Primary |
Addresses
Primary practice location
525 Airport Dr
Oneida, WI 54155-9035
Mailing address
PO Box 365
Oneida, WI 54155-0365
Phone (920) 869-2711
Other practice location 1
2901 S Overland Rd
Hobart, WI 54155-8959
Phone (920) 869-2797
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13462-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1265088942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365",
"city": "ONEIDA",
"state": "WI",
"postal_code": "541550365",
"telephone_number": "920-869-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 AIRPORT DR",
"city": "ONEIDA",
"state": "WI",
"postal_code": "541559035",
"telephone_number": "920-869-2711"
}
],
"practiceLocations": [
{
"address_1": "2901 S Overland Rd",
"address_purpose": "LOCATION",
"city": "Hobart",
"state": "WI",
"postal_code": "541558959",
"country_code": "US",
"telephone_number": "920-869-2797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGEN",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-17",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13462-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oneida, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.