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

Jake Roger Matern, DPT

Individual provider Physical Therapist · NPI 1730747411

Jake Roger Matern, DPT is a Physical Therapist in Private Practice in Bountiful, Utah. Qualified in 2019, 7 years ago. Practices with Performance West Physical Therapy, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1551 Renaissance Towne Dr Ste 350
Bountiful, UT 84010-7674
Phone: (801) 295-3553
Fax: (801) 295-3599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1730747411
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020
Mailing address1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010-7674

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Performance West Physical Therapy — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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