Individual provider Active NPI

Matthew Ruggles

  • Physical Therapy Assistant
  • Inwood, WV
National Provider Identifier
1679232102
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA002053 Issued in WV
Practice address
8543 Winchester Ave
Inwood, WV 25428-4022
Phone
(304) 229-1010
NPI assigned
Dec 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA002053 WV Primary

Addresses

Primary practice location

8543 Winchester Ave
Inwood, WV 25428-4022

Mailing address

PO Box 527
Inwood, WV 25428-0527
Phone (304) 359-3356

Other identifiers 1

IdentifierTypeStateIssuer
PTA002053OtherWVLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mruggles@rankinpt.com Rankin Physical Therapy LLC

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

LicenseStateTypeSpecialty
PTA002053WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rankin Physical Therapy LLC CurrentSince Dec 21, 2021 Accepting new patients
Rankin Physical Therapy LLC PastSince Dec 21, 2021 Accepting new patients

Locations

8543 Winchester Ave
Inwood, WV 25428
Phone (304) 229-1010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1679232102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254280527",
            "telephone_number": "304-359-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8543 WINCHESTER AVE",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254284022",
            "telephone_number": "304-229-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGLES",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "PTA002053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTA002053",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mruggles@rankinpt.com",
            "affiliation": "Y",
            "affiliationName": "Rankin Physical Therapy LLC",
            "address_1": "8543 Winchester Ave",
            "city": "Inwood",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254284022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Inwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.