MR. MATTHEW MARVIN PECHACEK (NPI# 1245894922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245894922 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW MARVIN PECHACEK |
| Credential | DPT |
| Practice Address |
202 S Park St Madison WI 53715-1507 |
| Mailing Address |
423 N Ferry Dr Lake Mills WI 53551-1423 |
| Practice Telephone | 6084176000 |
| Mailing Telephone | 6515003658 |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
14615-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 423 N Ferry Dr, Lake Mills, WI 535511423 | 6515003658 | |
| 621 Science Dr, Madison, WI 537111074 | 6082634765 | |
| 4602 Eastpark Blvd, Madison, WI 537182002 | 6084406400 |
| Street Address |
202 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920048 | Meriter Hospital, Inc. | General Practice | 202 S Park St, Madison, WI 53715-1507 | 2005-05-24 |
| 1295333839 | Monica Steigerwald | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-10-15 |
| 1376158667 | Sari L Archer | Nurse Practitioner | 202 S Park St, Madison, WI 53715-1507 | 2020-09-13 |
| 1376152710 | Jeffrey Jaeggi | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-07-30 |
| 1114544673 | Karina Kidd | Genetic Counselor, MS | 202 S Park St, Madison, WI 53715-1596 | 2020-07-01 |
| 1801412606 | Trevor Francis Boensch | Anesthesiologist Assistant | 202 S Park St, Madison, WI 53715-1507 | 2020-06-18 |
| 1225657539 | Joseph W Liggett Jr. | Clinical Nurse Specialist | 202 S Park St, Madison, WI 53715-1507 | 2020-04-16 |
| 1467081711 | Gabrielle Maria Avery | Student in an Organized Health Care Education/Training Program | 202 S Park St, Madison, WI 53715-1507 | 2020-04-07 |
| 1033748439 | Landon Jennings-stoyles | Pharmacist | 202 S Park St, Madison, WI 53715-1507 | 2020-04-07 |
| 1073140950 | Aaron Gilmour | Occupational Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1205022878 | Dierdre Ann Browne | Physical Therapist | 43 Dean St, Madison, NJ 07940-2250 | 2007-09-18 |
| 1831301613 | Adam Troy Lindsey | Physical Therapist | 2450 Rimrock Rd, Ste 204, Madison, WI 53713-2799 | 2007-05-04 |
| 1912065707 | Teresa E Amonett | Physical Therapist | 5752 Tokay Blvd, Madison, WI 53719-1237 | 2006-12-05 |
| 1215005301 | Lori A Mcreynolds | Physical Therapist | 1765 Thierer Rd, Madison, WI 53704-3721 | 2006-11-30 |
| 1164498382 | Kristi H Roland | Physical Therapist | 2021 Gallatin Pike N, Suite 248, Madison, TN 37115-2097 | 2006-02-27 |
| 1205816535 | Matthew K Riordan | Physical Therapist | 111 Kings Rd., Madison, NJ 07940-2122 | 2006-01-20 |
| 1083141220 | Cassie Lynn Raduka | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2017-05-18 |
| 1609224989 | Autumn Bonner | Physical Therapist | 305 S Livingston St, Madison, WI 53703-3513 | 2016-05-27 |
| 1225429848 | Ryan Sharpee | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2015-02-18 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.