Individual provider Active NPI

Matthew Traber, PTA

  • Physical Therapy Assistant
  • Burlington, WI
National Provider Identifier
1629985189
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
4407-19 Issued in WI
Practice address
709 Spring Valley Rd
Burlington, WI 53105-7614
Phone
(262) 971-9300
NPI assigned
Aug 27, 2026
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

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

LicenseStateTypeSpecialty
4407-19WIMDPhysical 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.

Verify at the official NPI Registry.