Individual provider Active NPI

Matthew Cravens, DPT

  • Physical Therapist
  • Morgantown, KY
National Provider Identifier
1346895463
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00007727 Issued in KY
Practice address
113 Ashley Plaza Cir
Morgantown, KY 42261-7236
Phone
(270) 288-5105
NPI assigned
Aug 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 00007727 KY Primary

Addresses

Primary practice location

113 Ashley Plaza Cir
Morgantown, KY 42261-7236

Mailing address

PO Box 445
Hartford, KY 42347-0445
Phone (270) 274-9221

Other practice location 1

358 S Main St
Leitchfield, KY 42754-1428
Phone (270) 259-0551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823000391 KY Practitioner - Physical Therapist in Private Practice 8022346451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
To Go TherapyGroup PAC ID 2961873013, 11 clinicians
Defying Dementia LLCGroup PAC ID 6406335553, 7 clinicians

Practice addresses (Care Compare)

Stanford, KY 40484
Phone (606) 669-3057

Bowling Green, KY 42103
Phone (270) 799-0779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00007727KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
To Go Therapy Physical Therapist CurrentSince Dec 6, 2024 Accepting new patients
Defying Dementia LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Fuller Physical Therapy Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
The P.T. Place, Inc Physical Therapist Past Accepting new patients

Locations

227 S Main St
Beaver Dam, KY 42320
Phone (270) 274-9221

358 S Main St
Leitchfield, KY 42754
Phone (270) 256-2932

113 Ashley Plaza Cir
Morgantown, KY 42261
Phone (270) 288-5105

Organizations & group practices 4

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1346895463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470445",
            "telephone_number": "270-274-9221",
            "fax_number": "270-955-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ASHLEY PLAZA CIR",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617236",
            "telephone_number": "270-288-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "358 S Main St",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427541428",
            "country_code": "US",
            "telephone_number": "270-259-0551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAVENS",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "00007727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.