Active NPI
Matthew Nolen, PT, DPT
- Physical Therapist
- Lynchburg, VA
National Provider Identifier
1245649318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208919
- Practice address
- 44 Clifton St
Lynchburg, VA 24501-1422 - Phone
- (434) 528-1848
- NPI assigned
- Aug 3, 2014
- Last updated
- Aug 3, 2014
- 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 | 2305208919 | VA | Primary |
Addresses
Primary practice location
44 Clifton St
Lynchburg, VA 24501-1422
Mailing address
20347 Timberlake Rd Ste B
Lynchburg, VA 24502-7203
Phone (434) 845-9053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305208919 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407024000000",
"number": "1245649318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20347 TIMBERLAKE RD STE B",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027203",
"telephone_number": "434-845-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 CLIFTON ST",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011422",
"telephone_number": "434-528-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLEN",
"first_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-03",
"last_updated": "2014-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.