Michael L Matthews, PT
Physical Therapist in Southlake, TX. Individual provider (NPI-1).
NPI number1376848895
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1376848895
- Entity type
- Individual (NPI-1)
- Name
- Michael L Matthews
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2011
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1200620 | TX | Yes |
Practice location
1545 E Southlake BlvdSuite 100
Southlake, TX 76092-6422
Phone 817-442-9300 · Fax 817-796-0763
Mailing address
2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211
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All 128 Physical Therapist providers in Southlake · All 2,154 providers in Southlake
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