Individual provider Active NPI

Devin James Mattson, DPT, ATC/LAT

  • Physical Therapist
  • Stevens Point, WI
National Provider Identifier
1376058495
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14188 Issued in WI
Practice address
5501 Em Copps Dr
Stevens Point, WI 54482-8843
Phone
(715) 344-0701
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14188 WI Primary

Addresses

Primary practice location

5501 Em Copps Dr
Stevens Point, WI 54482-8843

Mailing address

PO Box 511
Wisconsin Rapids, WI 54495-0511
Phone (715) 423-4442

Other practice location 1

6437 Ryland Ave
Vesper, WI 54489-9431
Phone (920) 428-1017

Other practice location 2

1000 E Riverview Expy Ste 140
Wisconsin Rapids, WI 54494-5471
Phone (715) 423-4442

Other practice location 3

167 N Main St
Amherst, WI 54406-9028
Phone (715) 824-7278

Other practice location 4

809 W North St
Plainfield, WI 54966
Phone (715) 335-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622000620 WI Practitioner - Physical Therapist in Private Practice 9638424203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5501 Em Copps Dr
Stevens Point, WI 54482-8843
Phone (715) 344-0701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14188WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Centers of Wisconsin S C Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Roberts & Associates Physical Therapy SC Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Orthopaedic Centers of Wisconsin S C Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Orthopaedic Centers of Wisconsin S C Past Accepting new patients
Roberts & Associates Physical Therapy SC PastSince Apr 1, 2018 Accepting new patients

Locations

809 W North St
Plainfield, WI 54966
Phone (715) 529-3487

500 Vincent St
Stevens Point, WI 54481
Phone (715) 341-7920

5501 Em Copps Dr
Stevens Point, WI 54482
Phone (715) 344-0701

3901 Stewart Ave
Wausau, WI 54401
Phone (715) 841-0002

1000 E Riverview Expy
Ste 140
Wisconsin Rapids, WI 54494
Phone (715) 423-4442

621 8th St S
Wisconsin Rapids, WI 54494
Phone (715) 529-3487

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1376058495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544950511",
            "telephone_number": "715-423-4442",
            "fax_number": "715-423-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 EM COPPS DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828843",
            "telephone_number": "715-344-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6437 Ryland Ave",
            "address_purpose": "LOCATION",
            "city": "Vesper",
            "state": "WI",
            "postal_code": "544899431",
            "country_code": "US",
            "telephone_number": "920-428-1017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Riverview Expy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544945471",
            "country_code": "US",
            "telephone_number": "715-423-4442",
            "fax_number": "715-423-4491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 N Main St",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "WI",
            "postal_code": "544069028",
            "country_code": "US",
            "telephone_number": "715-824-7278",
            "fax_number": "715-824-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 W North St",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "WI",
            "postal_code": "54966",
            "country_code": "US",
            "telephone_number": "715-335-4446",
            "fax_number": "715-335-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "DEVIN",
        "middle_name": "JAMES",
        "credential": "DPT, ATC/LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.