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

Mr. Matthew Austin Green, MPT

Individual provider Physical Therapist · NPI 1245951649

Mr. Matthew Austin Green, MPT is a Physical Therapist in Private Practice in Fenton, Missouri. Qualified in 2002, 24 years ago. Practices with Agilitas USA, Inc, a 810-clinician group. Licensed in South Carolina.

Years since qualifying
24
Licensed in
SC
In the registry since
2022
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1011 Bowles Ave Ste 150
Fenton, MO 63026-2384
Phone: (636) 343-9555
Fax: (636) 343-9556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11943 (SC)

Record details

NPI number1245951649
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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