Individual ProviderMatthew SorensenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6401 University Ave NE, Fridley, MN 55432-4341(763) 572-5706PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Sorensen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417365479Provider TypeIndividualFull NameSorensen, MatthewCredentialDPTGenderMaleSole ProprietorNoEnumeration Date7/22/2014Last Updated7/22/2014Contact InformationPractice LocationPractice Address6401 University Ave NE, Fridley, MN 55432-4341Phone(763) 572-5706FaxUnlisted FaxMailing LocationMailing Address6401 University Ave NE, Fridley, MN 55432-4341PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense3204Minnesota