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

Matthew D Fenstermaker, PT, DPT

Individual provider Physical Therapist · NPI 1437415080

Matthew D Fenstermaker, PT, DPT is a Physical Therapist in Private Practice in Auburn, Washington. Qualified in 2011, 15 years ago. Practices with Lighthouse Physical Therapy and Sports Medicine, a 6-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1408 Lake Tapps Pkwy SE Ste E106
Auburn, WA 98092-8158
Phone: (253) 939-7179
Fax: (253) 939-7182
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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 PT60266971 (WA)

Record details

NPI number1437415080
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESApril 18, 2017
Mailing address1408 Lake Tapps Pkwy Se, Ste E106, Auburn, WA 98092-8158

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lighthouse Physical Therapy And Sports Medicine — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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