Active NPI
Matthew Sprague, PT
- Physical Therapist
- Westlake, OH
National Provider Identifier
1467533489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.014160
- 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
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 | 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 8234 | CO | MD | Physical Therapist |
| PT.014160 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthopaedic Surgery Physician
- Louisville, CO
- NPI 1376577338
-
- Physical Therapy Clinic/Center
- Broomfield, CO
- NPI 1306927496
-
- Physical Therapy Clinic/Center
- Westminster, CO
- NPI 1053577759
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1063927788
Physical Therapist
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.