Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Matt Wrathall, CM

Pain Clinic/Center in Rexburg, ID · enumerated 2023.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205612405

Verified

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Registry record

Entity type Individual (Type 1)

Name Matt Wrathall

Credential CM

Sex Male

Practice address Rexburg, ID, 83440

Phone (385) 758-4356

Enumeration date Sep 4, 2023

Last updated in NPPES Mar 16, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

261QP3300X Pain Clinic/Center Ambulatory Health Care Facilities Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Matt Wrathall practice?

The practice location on file with NPPES is in Rexburg, ID. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Matt Wrathall?

The National Provider Identifier (NPI) for Matt Wrathall is 1205612405, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-16.