MEDICARE: MATELYN CORPSTEIN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1073145462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATELYN CORPSTEIN PT

Provider Business Mailing Address
First Line	:	11903 RUPP HOLLOW RD
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-9438
Country	:	US
Telephone Number	:	319-404-9688
Fax Number	:

Provider Business Practice Location Address
First Line	:	5624 STREETER RD
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-9756
Country	:	US
Telephone Number	:	319-404-9688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2020
Last Update Date	:	04/16/2026

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