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

Matthew O'Connor

Individual provider Physical Therapist · NPI 1124642079

Matthew O'Connor is a Physical Therapist in Hermantown, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020

Practice location Address checks out

4195 Westberg Rd
Hermantown, MN 55811-2962
Phone: (218) 216-9921
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11839 (MN)

Record details

NPI number1124642079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing address540 Falcon Crest Dr, Spearfish, SD 57783-3252

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