MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) – Physical Therapist, NPI 1750809455

MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) is a healthcare provider. based in Harrison, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. 5501018295 (MI). The NPI Number for MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) is 1750809455

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST)
NPI
1750809455
Phone
(989) 539-4167
Address
158 N 1ST ST STE D
Enumeration Date
1 September 2017
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897721609
Graduation Year
2017 (9 years ago)
PAC ID
3173898889
Group Practice PAC ID
5991778086
Professional Enrollment ID
I20171005002809
Address ID
MI488588931MT2935XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST)

  • 158 N 1ST ST STE D

    HARRISON, MI 486252520

    Phone: (989) 539-4167

    Fax: (989) 539-4436

    Type: Mailing

  • PO BOX 3272

    SAGINAW, MI 486053272

    Phone: (989) 797-1400

    Fax: (989) 797-4077

    Type: Mailing

  • 331 E WRIGHT AVE

    SHEPHERD, MI 488838065

    Phone: (989) 567-1300

    Fax: (989) 567-1301

    Type: Location

  • 158 N 1st St Ste D

    Harrison, MI 486252520

    Phone: (989) 539-4167

    Fax: (989) 539-4436

    Type: Location

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: 2017-10-05

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
I20171005002809IPhysical Therapist In Private PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47926$0
97140Therapy procedure using manual technique, each 15 minutes19821$0
97530Therapy procedure using functional activities13918$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13215$0
97162Evaluation for physical therapy, typically 30 minutes3124$0
View full utilization report →

Insurance plans in this area (ZIP 48625)

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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: 5991778086View full group profile
NameSpecialtyState
C H I R O P R A C T I CMI
Nurse PractitionerMI
C H I R O P R A C T I CMI
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Physician AssistantMI
-MI
Physical Therapist In Private PracticeMI
-MI
-MI

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Frequently asked questions

What unique ID ties claims to MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST)?
NPI 1750809455 is assigned to MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) under the national enumeration system.
Does this profile mean MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) is currently active?
Yes — MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) appears active in the national provider directory.
What does MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) treat or focus on?
Patients typically see MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) practice in Michigan?
You will see Harrison, Michigan on file for MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST) alongside any extra practice locations.
How can I contact MATTHEW DWAYNE BLICK (PHYSICAL THERAPIST)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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