Individual provider Active NPI

Matthew W Krason, RPT

  • Physical Therapist
  • Roanoke, AL
National Provider Identifier
1184862344
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH5343 Issued in AL
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

Updated by the provider on Jan 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7339753OtherALDRIVERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140410000807 OH Practitioner - Physical Therapist in Private Practice 6800953449 Reassigns benefits to 1 organization

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
Marietta Health and Wellness Center LLCGroup PAC ID 9335289388, 3 clinicians

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

LicenseStateTypeSpecialty
PTH5343ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Health and Wellness Center LLC CurrentSince Feb 1, 2014 Accepting new patients
Therapy Resources,LLC Physical Therapist Past Accepting new patients
Champion Rehab Resources, LLC Physical Therapist PastSince Mar 25, 2026 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.

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.

Verify at the official NPI Registry.