MR. MATTHEW STUART KAUFENBERG (PT) – Physical Therapist, NPI 1366533861

MR. MATTHEW STUART KAUFENBERG (PT) is a healthcare provider. based in Roseville, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6426 (MN). The NPI Number for MR. MATTHEW STUART KAUFENBERG (PT) is 1366533861

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW STUART KAUFENBERG (PT)
NPI
1366533861
Phone
(651) 638-0080
Address
1835 COUNTY ROAD C W
Enumeration Date
28 September 2006
Last Update Date
30 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183462464
Graduation Year
1999 (27 years ago)
PAC ID
8527241140
Group Practice PAC ID
9436371903
Professional Enrollment ID
I20110319000037
Address ID
MN565731808PE505XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for MR. MATTHEW STUART KAUFENBERG (PT)

  • County Road C, Roseville, Ramsey County, Minnesota, 55113, United States

    ROSEVILLE, MN 551131352

    Phone: (651) 638-0080

    Type: Location

  • 7700 HIGHWAY 65 NE

    SPRING LAKE PARK, MN 554322832

    Phone: (763) 784-3155

    Fax: (763) 784-2352

    Type: Mailing

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: 2011-03-19

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
I20110319000037IPhysical Therapist In Private PracticeMNTBD

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
97140Therapy procedure using manual technique, each 15 minutes1,02035$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes75545$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16816$0
97161Evaluation for physical therapy, typically 20 minutes3330$0
View full utilization report →

Insurance plans in this area (ZIP 55113)

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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: 9436371903View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What is the registry number for MR. MATTHEW STUART KAUFENBERG (PT)?
The registry entry for MR. MATTHEW STUART KAUFENBERG (PT) shows NPI 1366533861.
Does the public listing show MR. MATTHEW STUART KAUFENBERG (PT) as active?
MR. MATTHEW STUART KAUFENBERG (PT)'s NPI record reflects an active status in NPPES.
How should patients interpret MR. MATTHEW STUART KAUFENBERG (PT)'s specialty?
The extract shows Physical Therapist for MR. MATTHEW STUART KAUFENBERG (PT). Clinical services aligned with this taxonomy classification.
Which community is linked to MR. MATTHEW STUART KAUFENBERG (PT)?
MR. MATTHEW STUART KAUFENBERG (PT) shows a connection to Roseville, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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