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

Mr. Matthew Stuart Kaufenberg, PT

Individual provider Physical Therapist · NPI 1366533861

Mr. Matthew Stuart Kaufenberg, PT is a Physical Therapist in Private Practice in Roseville, Minnesota. Qualified in 1999, 27 years ago. Practices with Back in Motion Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
27
Licensed in
MN
In the registry since
2006
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

1835 County Road C W
Roseville, MN 55113-1352
Phone: (651) 638-0080
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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 6426 (MN)

Record details

NPI number1366533861
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 30, 2010
Mailing address7700 Highway 65 Ne, Spring Lake Park, MN 55432-2832

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Back In Motion Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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