MATTHEW MOUTVIC (DPT) – Physical Therapist, NPI 1245101195

MATTHEW MOUTVIC (DPT) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070.029443 (IL). The NPI Number for MATTHEW MOUTVIC (DPT) is 1245101195

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MATTHEW MOUTVIC (DPT)
NPI
1245101195
Phone
Not provided
Address
845 N MICHIGAN AVE STE 973W
Enumeration Date
15 September 2025
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3128788800
Graduation Year
2025 (1 year ago)
PAC ID
4082103528
Group Practice PAC ID
7719115617
Professional Enrollment ID
I20251027001459
Address ID
IL606112218CH845XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MATTHEW MOUTVIC (DPT)

  • 845 N MICHIGAN AVE STE 973W

    CHICAGO, IL 606112218

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251027001459IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719115617View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Clinical Social WorkerIL
Clinical PsychologistIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is MATTHEW MOUTVIC (DPT)'s NPI number?
MATTHEW MOUTVIC (DPT)'s NPI is 1245101195 — the number used across U.S. healthcare to identify this provider.
Is MATTHEW MOUTVIC (DPT) still an active registrant?
MATTHEW MOUTVIC (DPT) carries an active NPI according to the public dataset.
What expertise is attributed to MATTHEW MOUTVIC (DPT)?
MATTHEW MOUTVIC (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MATTHEW MOUTVIC (DPT)?
Travel planning: use Chicago, Illinois as the reference point for MATTHEW MOUTVIC (DPT), then confirm.
Does MATTHEW MOUTVIC (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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