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

Matthew C Kinkade, DPT

Individual provider Physical Therapist · NPI 1699108431

Matthew C Kinkade, DPT is a Physical Therapist in Private Practice in Pewaukee, Wisconsin. Qualified in 2013, 13 years ago. Practices with Kerk Physical Therapy Specialists SC, a 6-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2013
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

1177 Quail Ct Ste 200
Pewaukee, WI 53072-3768
Phone: (262) 695-3057
Fax: (262) 695-3063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12324-24 (WI)

Record details

NPI number1699108431
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 15, 2013
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address1177 Quail Ct Ste 200, Pewaukee, WI 53072-3768

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Kerk Physical Therapy Specialists Sc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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