Nathan R Matje, PT

Individual provider Active NPI Physical Therapist · Jackson, WI

NPI 1285675926 · NPPES record last updated Nov 4, 2025

Key facts

NPI
1285675926
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
10627-024 (WI)
Practice address
W225N16711 Cedar Park CT
Jackson, WI 53037-9222
Phone
(262) 677-1101
Fax
(262) 677-0121
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert Andthe Medical College of Wisconsin Community Physicians Inc (1,265 clinicians)

Practice addresses (Care Compare)

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

W225N16711 Cedar Park CT
Jackson, WI 53037-9222
Phone (262) 677-1101

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060710000122 WI Practitioner - Physical Therapist in Private Practice 5092728287 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10627-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Physical Therapist Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Current
since Sep 15, 2013
Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Current Accepting new patients
Orthopaedic Associates of Wisconsin, SC Past Accepting new patients

Locations

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

W225N16711 Cedar Park Ct
Jackson, WI 53037
Phone (262) 323-9257

1701 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-4616

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

1190 E Paradise Dr
West Bend, WI 53095
Phone (262) 306-6319

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10627-024 WI Yes

Addresses

Primary practice location

W225N16711 Cedar Park CT
Jackson, WI 53037-9222

Mailing address

W225N16711 Cedar Park CT
Jackson, WI 53037-9222
Phone (262) 677-1101

Other identifiers

IdentifierTypeStateIssuer
36114100MedicaidWI

Other providers in Jackson, WI

All providers in Jackson, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.