Active NPIIndividual provider

Dr. Matthew M Pettersen, DPT, CFMT, FAAOMPT

Physical Therapist in Cos Cob, Connecticut

NPI Number1497344881
Practice location
76 Valley RD, Cos Cob, CT 06807-2533
Fax
—
Last updated
June 19, 2026

Matthew Michael Pettersen is a Physical Therapist based in Cos Cob, CT. Matthew Michael Pettersen practices in Cos Cob, CT and has the professional credentials of DPT, CFMT, FAAOMPT. The NPI Number for Matthew Michael Pettersen is 1497344881 and holds a License No. 013223 (CT). The current practice location address for Matthew Michael Pettersen is 76 Valley RD, Cos Cob, CT 06807-2533 and can be reached out via phone at 203-957-5503.

Provider Profile Details

NPI Number
1497344881
Provider Name
Matthew Michael Pettersen
Credential
DPT, CFMT, FAAOMPT
Provider Entity Type
Individual
Gender
Male
Address
76 Valley RD, Cos Cob, CT 06807-2533
Phone Number
203-957-5503
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 11, 2021
Last Update Date
June 19, 2026
Certification Date
June 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Valley RD
Cos Cob, CT 06807-2533
Zip
06807-2533
Phone Number
203-957-5503
Cos Cob, CT 06807Get directions →

Provider Business Mailing Address Details

Address
71 Vincent Ave
Stamford, CT 06905-4023
City
Stamford
State
CT
Zip
06905-4023
Phone Number
917-992-2876

License Information

License Number
013223
License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Matthew M Pettersen, DPT, CFMT, FAAOMPT?

The NPI number of Dr. Matthew M Pettersen, DPT, CFMT, FAAOMPT is 1497344881. It was assigned on January 11, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Matthew M Pettersen, DPT, CFMT, FAAOMPT?

Dr. Matthew M Pettersen, DPT, CFMT, FAAOMPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 013223.

Where does Dr. Matthew M Pettersen, DPT, CFMT, FAAOMPT practice?

The practice location is 76 Valley RD, Cos Cob, CT 06807-2533. The office can be reached at 203-957-5503 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497344881 directly on the NPPES registry website.

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