# MATTHEW RICHARD STAPLETON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205096377
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | J10002345 | DE | — |
| 225100000X | Physical Therapist | P14235 | NC | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 12/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1205096377 | CHAMPUS TRICARE | — |
| 05 | — | 1205096377 | — | DE |
| 01 | — | 3527169000 | AMERIHEALTH IBC | — |
| 01 | — | 5070-0096 | GHMSI | MD |
| 01 | — | 88760501 | CAREFIRST | MD |