Individual provider Active NPI

Matthew L Trnka Sr., PT

  • Physical Therapist
  • Wadsworth, OH
National Provider Identifier
1427074319
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7881 Issued in OH
Practice address
241 Great Oaks TRL
Wadsworth, OH 44281-9400
Phone
(330) 336-8700
Fax
(330) 336-8731
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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 7881 OH Primary

Addresses

Primary practice location

241 Great Oaks TRL
Wadsworth, OH 44281-9400

Mailing address

241 Great Oaks TRL
Wadsworth, OH 44281-9400
Phone (330) 336-8700

Other identifiers 1

IdentifierTypeStateIssuer
2537688MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000534 OH Practitioner - Physical Therapist in Private Practice 2668440983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

241 Great Oaks TRL
Wadsworth, OH 44281-9400
Phone (330) 336-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7881OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inmotion Physical Therapy and Wellness LLC Physical Therapist CurrentSince Jul 28, 2008 Accepting new patients
Medina Centerpointe Chiropractic Center Inc Physical Therapist PastSince Apr 22, 2023 Accepting new patients

Locations

241 Great Oaks Trl
Wadsworth, OH 44281
Phone (330) 336-8700

Organizations & group practices 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1427074319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GREAT OAKS TRL",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819400",
            "telephone_number": "330-336-8700",
            "fax_number": "330-336-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GREAT OAKS TRL",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819400",
            "telephone_number": "330-336-8700",
            "fax_number": "330-336-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRNKA",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "7881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2537688",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.