MATTHEW FLESHER (DPT) – Physical Therapist, NPI 1104666080

MATTHEW FLESHER (DPT) is a healthcare provider. based in Hayward, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for MATTHEW FLESHER (DPT) is 1104666080

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW FLESHER (DPT)
NPI
1104666080
Phone
(715) 934-4321
Address
11040 N STATE RD 77
Enumeration Date
29 May 2024
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7159344245
Graduation Year
2020 (6 years ago)
PAC ID
9032656459
Group Practice PAC ID
9436061363
Professional Enrollment ID
I20241122001356
Address ID
WI548436391HA11040RDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience9
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for MATTHEW FLESHER (DPT)

  • 11040 N STATE RD 77

    HAYWARD, WI 54843

    Phone: (715) 934-4321

    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: 2024-11-22

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
I20241122001356IPhysical Therapist In Private PracticeWITBD

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 54843)

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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: 9436061363View full group profile
NameSpecialtyState
Nurse PractitionerWI
Family PracticeWI
Family PracticeWI
Emergency Medicine, Family PracticeKS
Orthopedic Surgery, Sports MedicineWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency Medicine, Family PracticeWI
Nurse PractitionerWI
General SurgeryWI

Reviews

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Frequently asked questions

How do I look up MATTHEW FLESHER (DPT) by NPI?
Use NPI 1104666080 when you need to reference MATTHEW FLESHER (DPT) in forms, claims, or directories.
Is MATTHEW FLESHER (DPT) currently active in the NPI registry?
CMS-published data lists MATTHEW FLESHER (DPT) as an active registrant.
Does MATTHEW FLESHER (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MATTHEW FLESHER (DPT). Clinical services aligned with this taxonomy classification.
Does MATTHEW FLESHER (DPT) practice in Wisconsin?
You will see Hayward, Wisconsin on file for MATTHEW FLESHER (DPT) alongside any extra practice locations.
What if Hayward, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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