MATTHEW MOODY
NPI 1104764679
Clinic/Center - Physical Therapy in Eaton, OH

NPI Status: Active since March 24, 2026

Contact Information

515 S MAPLE ST
EATON, OH
ZIP 45320
Phone: (937) 456-5537

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  • Individual
  • Male
  • Clinic/Center
  • Physical Therapy

About MATTHEW MOODY

This page provides the complete NPI Profile along with additional information for Matthew Moody, a provider established in Eaton, Ohio with a medical specialization in Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1104764679 assigned on March 2026. The practitioner's primary taxonomy code is 261QP2000X with license number PTA.06378 (OH). The provider is registered as an individual and his NPI record was last updated March 2026.

NPI
1104764679
Provider Name
MATTHEW MOODY
Gender
Male
Entity Type
Individual
Location Address
515 S MAPLE ST EATON, OH 45320
Location Phone
(937) 456-5537
Mailing Address
1450 OAK PARK DR RICHMOND, IN 47374
Is Sole Proprietor?
Yes
Enumeration Date
03-24-2026
Last Update Date
03-24-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
PTA.06378
License State
OH
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104764679, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 6 + 8 + 6 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104764679.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Skilled Nursing Facility
515 S MAPLE ST
EATON, OH 45320
Psychologist (Clinical)
515 S MAPLE ST
EATON, OH 45320
Nurse Practitioner (Family)
515 S MAPLE ST
EATON, OH 45320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104764679, enumerated as an "individual" on March 24, 2026.

The provider is located at 515 S MAPLE ST EATON, OH 45320 and the phone number is (937) 456-5537.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.