Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Mathisen

Individual provider Physical Therapist · NPI 1477386993

Connor Mathisen is a Physical Therapist in Private Practice in Brighton, Massachusetts. Qualified in 2024, 2 years ago. Practices with Performance Rehabilitation of Western New England LLC, a 201-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

470 Washington St
Brighton, MA 02135-2674
Phone: (617) 925-1090
Fax: (617) 415-9354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MA)

Record details

NPI number1477386993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Performance Rehabilitation Of Western New England Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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