Individual provider Active NPI

Matthew Thomas Repko, DPT

  • Physical Therapist
  • Windber, PA
National Provider Identifier
1649638248
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025005 Issued in PA
Practice address
419 Park Place
Windber, PA 15963
Phone
(814) 509-6089
Fax
(888) 650-1005
NPI assigned
Feb 10, 2016
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025005 PA Primary

Addresses

Primary practice location

419 Park Place
Windber, PA 15963

Mailing address

419 Park Place
Windber, PA 15963
Phone (814) 509-6089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310002403 PA Practitioner - Physical Therapist in Private Practice 6901102300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stroz Physical Therapy and Sports Rehab, P.C.Group PAC ID 9335216985, 5 clinicians

Practice addresses (Care Compare)

419 Park PL
Windber, PA 15963-1718
Phone (814) 509-6089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025005PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stroz Physical Therapy & Sports Rehab, P.C. Physical Therapist CurrentSince Oct 13, 2019 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Feb 4, 2016 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC CurrentSince Feb 4, 2016 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3120 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 949-4309

3200 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 949-9500

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

419 Park Pl
Windber, PA 15963
Phone (814) 509-6089

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1649638248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PARK PLACE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-509-6089",
            "fax_number": "888-650-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PARK PLACE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-509-6089",
            "fax_number": "888-650-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKO",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.