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

Matthew Steven Blievernicht, PT

Individual provider Physical Therapist · NPI 1760640213

Matthew Steven Blievernicht, PT is a Physical Therapist in Private Practice in Pewaukee, Wisconsin. Qualified in 2008, 18 years ago. Practices with Orthopaedic Associates of Wisconsin SC, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
18
Licensed in
OR, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone: (262) 303-5055
Fax: (262) 303-5057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15280 Nw Central Dr, Portland, OR 97229-7805 — (503) 466-2254

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11016 (WI)
Physical Therapist Taxonomy 225100000X · Licence 5973 (OR)

Record details

NPI number1760640213
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 30, 2008
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Orthopaedic Associates Of Wisconsin Sc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pewaukee