Individual provider Active NPI

Matthew J McCreary

  • Physical Therapist
  • Abilene, TX
National Provider Identifier
1043561814
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1219606 Issued in TX
Practice address
1633 Cottonwood St
Abilene, TX 79601-3033
Phone
(325) 672-4372
NPI assigned
Sep 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1219606 TX Primary

Addresses

Primary practice location

1633 Cottonwood St
Abilene, TX 79601-3033

Mailing address

910 FM 613
Tuscola, TX 79562-2300
Phone (806) 570-5017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215000108 TX Practitioner - Physical Therapist in Private Practice 5193115780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1219606TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jan 1, 2023 Accepting new patients
Hendrick Provider Network CurrentSince Jan 1, 2023 Accepting new patients

Locations

1633 Cottonwood St
Abilene, TX 79601
Phone (325) 672-4372

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

5302 Buffalo Gap Rd
Ste 101
Abilene, TX 79606
Phone (325) 793-2663

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

Interoperability endpoints

  • Direct secure messaging: matt.mccreaery.p3@direct.abileneboneandjoint.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1043561814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 FM 613",
            "city": "TUSCOLA",
            "state": "TX",
            "postal_code": "795622300",
            "telephone_number": "806-570-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 COTTONWOOD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013033",
            "telephone_number": "325-672-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2022-02-23",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1219606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.