Matthew Childress, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6979 Teays Valley Rd
Scott Depot, WV 25560-7097

Phone

(681) 235-7156

NPI assigned

Aug 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Communication Station, Inc.Group PAC ID 2062858590, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Communication Station, Inc.

  • Early Intervention Provider Agency
  • Scott Depot, WV
  • NPI 1780068007

  WV

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1528513629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 TEAYS VALLEY RD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255607097",
            "telephone_number": "681-235-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6979 TEAYS VALLEY RD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255607097",
            "telephone_number": "681-235-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Cook Carter, CNM
• Misty Case
• Danielle Denise Cash
• Sarah Caudill, PHARMD
• Charles Lee Causey, RPH
• Christopher C Skaggs
• Ryan R Cicenas, MD
• Kara A. Cipriani, APRN, FNP-BC
• Nicole Danielle Clendenin, FNP, APRN-CNP
• Stacy Nicole Coleman

• Physical Therapist in Scott Depot, WV
• Providers in Scott Depot, 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 Jan 16, 2025; 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.