Jared Muth, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

AT001457 Issued in WV

Practice address

1 John Marshall Dr
Huntington, WV 25755-0002

Phone

(304) 696-6461

NPI assigned

Apr 10, 2018

Last updated

Apr 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1538666284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CHARLESTON AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013623",
            "telephone_number": "504-799-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550002",
            "telephone_number": "304-696-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTH",
        "first_name": "JARED",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WV",
            "license": "AT001457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Hope Murrell, APRN, FNP-BC
• Trevellis Murrell
• Shane Thomas Musick, MD
• Bisher Mustafa, M.D.
• Nitisha Mutgi, MD
• Lisa Dawn Muto, NP
• Herbert Myers, DO
• James Robert Myers, MA, CCM
• Kalycia Brooke Myers
• McKenzie Myers

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.