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

Matthew Dwayne Blick, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1750809455

Matthew Dwayne Blick, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Shepherd, Michigan. Qualified in 2017, 9 years ago. Practices with Evergreen Physical Therapy Limited Partnership, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017

Practice location Address checks out

331 E Wright Ave
Shepherd, MI 48883-8065
Phone: (989) 567-1300
Fax: (989) 567-1301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 158 N 1st St Ste D, Harrison, MI 48625-2520 — (989) 539-4167

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501018295 (MI)

Record details

NPI number1750809455
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedSeptember 1, 2017
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing addressPo Box 3272, Saginaw, MI 48605-3272

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Evergreen Physical Therapy Limited Partnership — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shepherd