Nicole Marie Materkoski, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004244 Issued in WV

Practice address

620 National Rd Ste 100
Wheeling, WV 26003-6560

Phone

(304) 230-5601

Fax

(304) 230-5603

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Settlement Physical TherapyGroup PAC ID 7113914631, shared by 5 NPIs, 97 clinicians

Mountain River Physical Therapy Specialists LLCGroup PAC ID 1759795834, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Vincent, OH
  • NPI 1801491568

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Charleston, WV
  • NPI 1093202665

  Physical Therapist

  Medicare reassignment NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Vienna, WV
  • NPI 1780634246

  Physical Therapist

  Medicare reassignment NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Belpre, OH
  • NPI 1134170426

  Physical Therapist

  Medicare reassignment NPD
• First Settlement Phycial Therapy

  • Physical Therapist
  • Beckley, WV
  • NPI 1619763547
  NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Mineral Wells, WV
  • NPI 1275192601

  Physical Therapist

  NPD
• First Settlement Physical Therapy

  • Physical Therapist
  • Ravenswood, WV
  • NPI 1851787246
  NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Barnesville, OH
  • NPI 1437891322
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1396371837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST STE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NATIONAL RD STE 100",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036560",
            "telephone_number": "304-230-5601",
            "fax_number": "304-230-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERKOSKI",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018510",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Angelo Martino, RPH
• Mary Connolly, Ma, LPC, NCC, LLC
• Terrence Lee Mason, PT
• Tracey Leanne Mason
• Leigh Anne Massey, MD
• Lauren Jean Matheny
• Chelby Mather
• Emily Taylor Matteson
• Magen Wynema Maxwell
• Charity Lynn May, FNP-BC

• Physical Therapist in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.