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

Matthew Wittwer

Individual provider Behavior Analyst · NPI 1457710709

Matthew Wittwer is an Occupational Therapist in Private Practice in Boulder City, Nevada. Qualified in 2020, 6 years ago. Practices with Affiliated Physical Therapy, a 45-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
6
Licensed in
NV
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Nevada Way Ste 205
Boulder City, NV 89005-1829
Phone: (702) 246-2782
Fax: (702) 750-1372
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-2564 (NV)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1457710709
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 15, 2016
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address1333 N Buffalo Dr Unit 170, Las Vegas, NV 89128-3637

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Affiliated Physical Therapy — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boulder City