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Matt Wrathall, CM
NPI 1205612405 · Pain Clinic/Center · Rexburg, ID
Matt Wrathall, CM is a Pain Clinic/Center provider in Rexburg, ID (NPI 1205612405).
Provider details
- NPI number
- 1205612405
- Entity type
- Individual
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Credential
- CM
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
663 Trejo St
Rexburg, ID 83440-2579
Phone: (385) 758-4356
Street-level locationGet directions
Mailing address
Po Box 151
Menan, ID 83434-0151
Registry dates
- Enumerated
- 2023-09-04
- Last updated
- 2025-03-16
- Certified
- 2025-03-16
Frequently asked questions
- What is Matt Wrathall's NPI number?
- Matt Wrathall's National Provider Identifier (NPI) is 1205612405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matt Wrathall's specialty?
- Matt Wrathall is listed in the NPPES registry with a primary specialty of Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Matt Wrathall located?
- Matt Wrathall's practice location on file with NPPES is 663 Trejo St, Rexburg, ID 83440-2579.
- What is Matt Wrathall's phone number?
- The practice phone number listed in the NPPES registry for Matt Wrathall is (385) 758-4356.
- Is Matt Wrathall's NPI active?
- Yes — Matt Wrathall's NPI (1205612405) is active in the NPPES registry as of the last update on 2025-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.