Jake Roger Matern, D.P.T
NPI 1730747411ActiveIndividual· Physical Therapist· Bountiful, UT
Physical Therapist (D.P.T) with Performance West Physical Therapy, practicing in Bountiful, Utah. Medicare paid $59,900 for services to 42 patients in 2024.
Overview
| NPI | 1730747411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.T |
| Sole proprietor | No |
| NPI issued | May 29, 2019 |
| Last updated in NPPES | Feb 26, 2020 |
| Certified by provider | Feb 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 3,104 across 8 procedure codes |
| Paid by Medicare | $59,900 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Performance West Physical TherapyBountiful, UT · 11 clinicians
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