Active NPI
Matthew Traber, PTA
- Physical Therapy Assistant
- Burlington, WI
National Provider Identifier
1629985189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4407-19
- Practice address
- 709 Spring Valley Rd
Burlington, WI 53105-7614 - Phone
- (262) 971-9300
- NPI assigned
- Aug 27, 2026
- Last updated
- Aug 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 4407-19 | WI | Primary |
Addresses
Primary practice location
709 Spring Valley Rd
Burlington, WI 53105-7614
Mailing address
709 Spring Valley Rd
Burlington, WI 53105-7614
Phone (262) 971-9300
Other practice location 1
1550 Hobbs Dr
Delavan, WI 53115-2027
Phone (262) 740-4370
Other practice location 2
818 Forest Ln
Waterford, WI 53185-4585
Phone (262) 514-8177
Other practice location 3
700 N Lake Ave Ste 102
Twin Lakes, WI 53181-9429
Phone (262) 877-8890
Other practice location 4
700 Geneva Pkwy N
Lake Geneva, WI 53147-4594
Phone (262) 249-3500
Other names 1
- Jae Traber
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 |
|---|---|---|---|
| 4407-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1629985189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 SPRING VALLEY RD",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531057614",
"telephone_number": "262-971-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 SPRING VALLEY RD",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531057614",
"telephone_number": "262-971-9300"
}
],
"practiceLocations": [
{
"address_1": "1550 Hobbs Dr",
"address_purpose": "LOCATION",
"city": "Delavan",
"state": "WI",
"postal_code": "531152027",
"country_code": "US",
"telephone_number": "262-740-4370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "818 Forest Ln",
"address_purpose": "LOCATION",
"city": "Waterford",
"state": "WI",
"postal_code": "531854585",
"country_code": "US",
"telephone_number": "262-514-8177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 N Lake Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Twin Lakes",
"state": "WI",
"postal_code": "531819429",
"country_code": "US",
"telephone_number": "262-877-8890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Geneva Pkwy N",
"address_purpose": "LOCATION",
"city": "Lake Geneva",
"state": "WI",
"postal_code": "531474594",
"country_code": "US",
"telephone_number": "262-249-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRABER",
"first_name": "MATTHEW",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "4407-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAE",
"last_name": "TRABER",
"credential": "PTA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.