Active NPI
Matthew A Cain, PTA
- Physical Therapy Assistant
- Yadkinville, NC
National Provider Identifier
1851879597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A6585
- Practice address
- 903 W Main St
Yadkinville, NC 27055-7807 - Phone
- (336) 679-8863
- NPI assigned
- Aug 3, 2018
- 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 | A6585 | NC | Primary |
Addresses
Primary practice location
903 W Main St
Yadkinville, NC 27055-7807
Mailing address
1933 Country Club Rd
Yadkinville, NC 27055-5119
Phone (336) 473-2922
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 |
|---|---|---|---|
| A6585 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1851879597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 COUNTRY CLUB RD",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270555119",
"telephone_number": "336-473-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 W MAIN ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270557807",
"telephone_number": "336-679-8863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "MATTHEW",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A6585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yadkinville, NC
- Jong Koo Byun, DDS
- Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
- Cah Acquisition Company 10 LLC (Yadkin Valley Community Hosptial Professional Staff)
- Cah Acquisition Company 10 LLC (Yadkin Valley Community Physcians)
- Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
- Ashley Keys Campbell, NP-C
- Cape Fear Regional Transport Inc (Miller Ambulance Service)
- Carolina Pharmacy Services (Yadkin Valley Pharmacy)
- Carolina Pharmacy Services (Yadkin Valley Pharmacy)
- Barbara Ann Carter, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.