Individual provider Active NPI

Matthew D Subler, PT, AT

  • Physical Therapist
  • Coldwater, OH
National Provider Identifier
1952814451
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019850 Issued in OH
Practice address
216 W Main St
Coldwater, OH 45828-1703
Phone
(419) 763-1464
NPI assigned
Nov 7, 2017
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019850 OH Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

216 W Main St
Coldwater, OH 45828-1703

Mailing address

8906 Pitsenbarger Rd
Versailles, OH 45380-9713
Phone (937) 621-5891

Other practice location 1

8906 Pitsenbarger Rd
Versailles, OH 45380-9713
Phone (937) 621-5891

Other identifiers 1

IdentifierTypeStateIssuer
1952814451OtherOHATC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912000228 OH Practitioner - Physical Therapist in Private Practice 1850776923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winning Edge Physical Therapy LLCGroup PAC ID 2668886565, 6 clinicians

Practice addresses (Care Compare)

1320 E Main St
Versailles, OH 45380-1562
Phone (567) 224-2045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019850OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winning Edge Physical Therapy, LLC Physical Therapist CurrentSince May 5, 2023 Accepting new patients
Performance Physical Therapy & Wellness LLC Physical Therapist CurrentSince May 23, 2022 Accepting new patients

Locations

216 W Main St
Coldwater, OH 45828
Phone (419) 763-1464

1320 E Main St
Versailles, OH 45380
Phone (567) 224-2045

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, 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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1952814451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 PITSENBARGER RD",
            "city": "VERSAILLES",
            "state": "OH",
            "postal_code": "453809713",
            "telephone_number": "937-621-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281703",
            "telephone_number": "419-763-1464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8906 Pitsenbarger Rd",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "OH",
            "postal_code": "453809713",
            "country_code": "US",
            "telephone_number": "937-621-5891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBLER",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "PT, AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "019850",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATC",
            "identifier": "1952814451",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.