Active NPI
Matthew T Duncan, P.T.A.
- Contractor
- West Chester, PA
National Provider Identifier
1598986911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- TE005123L
- Practice address
- 1615 E Boot Rd
West Chester, PA 19380-6001 - Phone
- (484) 653-4426
- NPI assigned
- May 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | TE005123L | PA | Primary |
Addresses
Primary practice location
1615 E Boot Rd
West Chester, PA 19380-6001
Mailing address
107 Ridge Rd
West Chester, PA 19382-7349
Phone (484) 883-8013
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE005123L | PA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1598986911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 RIDGE RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193827349",
"telephone_number": "484-883-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 E BOOT RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193806001",
"telephone_number": "484-653-4426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "MATTHEW",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "TE005123L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.