Matthew Thomas Hillyer Paulsen, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6488 Issued in NV

Practice address

734 S Meadows Pkwy Ste 101
Reno, NV 89521-4807

Phone

(775) 853-9966

Fax

(775) 853-9969

NPI assigned

Sep 5, 2024

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

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 and National Provider Directory roles.

• Custom Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1639184302

  Physical Therapist

  NPD (past)
• Custom Physical Therapy Limited Partnership

  • Physical Therapist
  • Reno, NV
  • NPI 1669197752
  NPD (past)

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1396570636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E PRATER WAY STE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348973",
            "telephone_number": "775-853-9966",
            "fax_number": "775-853-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 S MEADOWS PKWY STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214807",
            "telephone_number": "775-853-9966",
            "fax_number": "775-853-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS HILLYER",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Katz, M.D., LTD
• Paul Nevis, LLC
• Andrea Paul
• Anisha Varkey Paul, DMD
• Staci M Paul, M.D.
• Michelle Hillyer Paulsen, OTR
• Abbey Marie Paulson
• Quinn Pauly, MD
• Amanda Pavia, RBT
• Phil Pavilionis, MS, LAT, ATC, CSCS

• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.