Matthew Hicks
Individual provider Active NPI Physical Therapy Assistant · Flint, TX
NPI 1013406545 · NPPES record last updated May 10, 2018
Key facts
- NPI
- 1013406545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2112883 (TX)
- Practice address
- 18859 Spanish Oak CT
Flint, TX 75762-3430 - Phone
- (903) 730-0325
- NPI assigned
- May 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2112883 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2112883 | TX | Yes |
Addresses
Primary practice location
18859 Spanish Oak CT
Flint, TX 75762-3430
Mailing address
18859 Spanish Oak CT
Flint, TX 75762-3430
Other providers in Flint, TX
- Theodore Israel Gould
- Bonnie Rose Haley
- Mary Hayden
- Cheryl Lynn Henderson
- Jodi Hicken
- Diana Nicole Hill
- Leigh C Hines
- Timothy L Holcomb
- David W Holmes
- Hood Chiropractic & Wellness Center PC
All providers in Flint, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.