Matrix Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1188218 Issued in TX

Legal business name

MATRIX THERAPY, LLC

Practice address

5204 Avenue F
Austin, TX 78751

Phone

(678) 520-0986

Fax

(512) 593-5150

NPI assigned

Jul 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carrie Williamson, PT, DPT

Title

Physical Therapist, Owner

Phone

(678) 520-0986

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1013323724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 AVENUE F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78751",
            "telephone_number": "678-520-0986",
            "fax_number": "512-593-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 AVENUE F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78751",
            "telephone_number": "678-520-0986",
            "fax_number": "512-593-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "678-520-0986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1188218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Matika, PA-C
• Alexander Jamal Matlock, MD
• Adriana Marie Matos, PA-C
• Matrescence Occupational Therapy, LLC
• Sarena Renee Matriano-Lim, MD
• Philip Matson, DDS
• Shannon Nichole Matsuno, NP
• Sarah Elizabeth Matt, MD
• Shane Matt, DDS
• Cassandra Mattar, MS CCC-SLP

• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.