Active NPI
Matthew Malachi Marple, PT DPT
- Physical Therapist
- Morgantown, WV
National Provider Identifier
1457936643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004581
- Practice address
- 943 Maple Dr
Morgantown, WV 26505-2812 - Phone
- (304) 599-2515
- NPI assigned
- Mar 10, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT36869 | FL | |
| Physical Therapist | 225100000X | PT004581 | WV | Primary |
Addresses
Primary practice location
943 Maple Dr
Morgantown, WV 26505-2812
Mailing address
943 Maple Dr
Morgantown, WV 26505-2812
Phone (304) 599-2515
Other practice location 1
9560 Crosshill Blvd
Jacksonville, FL 32222-5850
Phone (904) 203-1296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230720004052 | WV | Practitioner - Physical Therapist in Private Practice | 8426418518 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36869 | FL | MD | Physical Therapist |
| PT004581 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calvert Rehabilitation Group, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
74 Erin Dr
Morgantown, WV 26508
Phone (304) 594-2500
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.
-
- Physical Therapy Clinic/Center
- Morgantown, WV
- NPI 1043676711
Physical Therapist, WV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1457936643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 MAPLE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052812",
"telephone_number": "304-599-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 MAPLE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052812",
"telephone_number": "304-599-2515"
}
],
"practiceLocations": [
{
"address_1": "9560 Crosshill Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322225850",
"country_code": "US",
"telephone_number": "904-203-1296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARPLE",
"first_name": "MATTHEW",
"middle_name": "MALACHI",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-10",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36869",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT004581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.