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

Individual provider Physical Therapist · NPI 1831592708

Staci Liliedahl-Matiyow, DPT is a Physical Therapist in Private Practice in Council Bluffs, Iowa. Qualified in 2005, 21 years ago. Practices with Hopp Physical Therapy Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
21
Licensed in
IA, NE
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

201 W Broadway
Council Bluffs, IA 51503-9004
Phone: (712) 329-9419
Fax: (712) 329-0329
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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 03634 (IA)
Physical Therapist Taxonomy 225100000X · Licence 2218 (NE)

Record details

NPI number1831592708
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 6, 2014
Last updated in NPPESOctober 6, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Hopp Physical Therapy Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Council Bluffs