Individual provider Active NPI

Matthew Sprague, PT

  • Physical Therapist
  • Westlake, OH
National Provider Identifier
1467533489
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.014160 Issued in OH
Practice address
2237 Crocker Rd
Suite 110
Westlake, OH 44145-7605
Phone
(440) 617-9600
Fax
(440) 617-9608
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 8234 CO
Physical Therapist 225100000X PT.014160 OH Primary

Addresses

Primary practice location

2237 Crocker Rd
Suite 110
Westlake, OH 44145-7605

Mailing address

2237 Crocker Rd
Suite 110
Westlake, OH 44145-7605
Phone (440) 617-9600

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT 8234COMDPhysical Therapist
PT.014160OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Sports Medicine PC Past Accepting new patients
Cornerstone Orthopedics Surgery and Sports Medicine, P.C. Past Accepting new patients
Mustard Seed Wellness, PC Past Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist Past Accepting new patients

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1467533489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 CROCKER RD",
            "address_2": "SUITE 110",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457605",
            "telephone_number": "440-617-9600",
            "fax_number": "440-617-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 CROCKER RD",
            "address_2": "SUITE 110",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457605",
            "telephone_number": "440-617-9600",
            "fax_number": "440-617-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT 8234",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.014160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.