Active NPI
Matthew Ruggles
- Physical Therapy Assistant
- Inwood, WV
National Provider Identifier
1679232102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA002053
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA002053 | Other | WV | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002053 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rankin Physical Therapy LLC | Current | Accepting new patients | |
| Rankin Physical Therapy LLC | Past | 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.
-
- Physical Therapist
- Berkeley Springs, WV
- NPI 1104034073
-
- Physical Therapy Clinic/Center
- Hagerstown, MD
- NPI 1386129559
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.