Matthew Stuart Kaufenberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6426 Issued in MN

Practice address

1835 County Road C W
Roseville, MN 55113-1352

Phone

(651) 638-0080

NPI assigned

Sep 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Motion Physical Therapy LLCGroup PAC ID 9436371903, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back in Motion Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Perham, MN
  • NPI 1881094621
  Medicare reassignment Care Compare group NPD Authorized official
• Multicenter Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Spring Lake Park, MN
  • NPI 1346287158
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1366533861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 65 NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322832",
            "telephone_number": "763-784-3155",
            "fax_number": "763-784-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 COUNTY ROAD C W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131352",
            "telephone_number": "651-638-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFENBERG",
        "first_name": "MATTHEW",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60845900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yun Xue Kao, M.D.
• Patricia Ann Kappas-Larson, DNP, APN-C
• Lawrence Konyi Karenget, RN
• Emily Kary
• Elliana Kastner
• Bryan Kavanaugh
• KB Nutrition Counseling
• Douglas Kenneth Keim,, D.D.S.
• Charles E Kelly, MD
• Lori L Kelly, RN, CNP

• Physical Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.