Matthew Stulls, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5827 Issued in NC

Practice address

2030 Harper Ave NW
Lenoir, NC 28645-4953

Phone

(828) 754-3888

NPI assigned

Oct 15, 2015

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1760853816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 BIGGERSTAFF LOOP",
            "city": "NEBO",
            "state": "NC",
            "postal_code": "287618773",
            "telephone_number": "828-460-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HARPER AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454953",
            "telephone_number": "828-754-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULLS",
        "first_name": "MATTHEW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam C Stephens, DDS
• Hannah Stewart
• Stixx
• Joseph E Stone, CRNA
• Wendy J Stout, MD
• Carol Sturgis
• Jarrod Edward Suddreth, MD
• T Glenn Owens DDS PA
• Kevin Tacheny, OTD, OTR/L
• Emily Allise Whitworth Talley, CF-SLP, CLC

• Physical Therapy Assistant in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.