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

Matthew Joel Robertson, PTA

Individual provider Physical Therapy Assistant · NPI 1174717888

Matthew Joel Robertson, PTA is a Physical Therapy Assistant in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone: (417) 326-6000
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2023032258 (MO)

Record details

NPI number1174717888
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 5, 2007
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025