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

Steven Matt Jacques

Individual provider Physical Therapist · NPI 1811613037

Steven Matt Jacques is a Physical Therapist in Private Practice in Laurel, Maryland. Qualified in 2022, 4 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Maryland.

Years since qualifying
4
Licensed in
FL, MD
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

14190A Baltimore Ave
Laurel, MD 20707-5007
Phone: (240) 542-5924
Fax: (301) 317-5629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8983 Okeechobee Blvd Ste 208, West Palm Beach, FL 33411-5145 — (561) 478-3702

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 29993 (MD)
Physical Therapist Taxonomy 225100000X · Licence PTT39489 (FL)

Record details

NPI number1811613037
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Laurel