Active NPI
Matthew W Krason, RPT
- Physical Therapist
- Roanoke, AL
National Provider Identifier
1184862344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH5343
- Practice address
- 925 Piedmont St
Roanoke, AL 36274-2130 - Phone
- (334) 863-3535
- Fax
- (334) 863-7276
- NPI assigned
- Jan 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH5343 | AL | Primary |
Addresses
Primary practice location
925 Piedmont St
Roanoke, AL 36274-2130
Mailing address
1514 Owens St
Gadsden, AL 35904-4938
Phone (256) 543-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7339753 | Other | AL | DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 4TH St B
Marietta, OH 45750-2002
Phone (740) 376-9944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH5343 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Health and Wellness Center LLC | Current | Accepting new patients | |
| Therapy Resources,LLC | Physical Therapist | Past | Accepting new patients |
| Champion Rehab Resources, LLC | Physical Therapist | Past | Accepting new patients |
Locations
325 4th St
Ste B
Marietta, OH 45750
Phone (740) 376-9944
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Marietta, OH
- NPI 1558695411
-
- Physical Therapist
- Vestavia, AL
- NPI 1003437906
-
- Physical Therapist
- Gadsden, AL
- NPI 1639289812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1184862344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 OWENS ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359044938",
"telephone_number": "256-543-1030",
"fax_number": "256-439-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 PIEDMONT ST",
"city": "ROANOKE",
"state": "AL",
"postal_code": "362742130",
"telephone_number": "334-863-3535",
"fax_number": "334-863-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASON",
"first_name": "MATTHEW",
"middle_name": "W",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH5343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "7339753",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.