Matrix Rehabilitation -Texas, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MATRIX REHABILITATION -TEXAS, INC.

Doing business as

MATRIX Rehabilitation of Wylie

Practice address

600 Cooper Dr
Ste 130
Wylie, TX 75098-3910

Phone

(972) 442-6525

Fax

(972) 442-6543

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

Cynthia L. Goldberg

Title

Chief Compliance Officer

Phone

(610) 644-7824

Specialties & licenses 1

Addresses

Other names 1

• MATRIX Rehabilitation of Wylie Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Matrix Rehabilitation-Texas, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Deer Park, TX
  • NPI 1053351437

  Member Of

  NPD member
• Matrix Rehabilitation, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Fountain Valley, CA
  • NPI 1174568539

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1083653000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "470-259-5226",
            "fax_number": "267-321-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COOPER DR",
            "address_2": "STE 130",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983910",
            "telephone_number": "972-442-6525",
            "fax_number": "972-442-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION -TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "610-644-7824"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATRIX Rehabilitation of Wylie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Martins
• Lauren Claire Massey, MS, CCC-SLP
• Rincy Mathai, FNP
• Neethu M Mathew, MD
• Daniel J Mathews, DPT
• Eric Lynn Maxey, A.T.C., L.A.T.
• Raymond Maziveyi
• Jon C McCoy II, MA. LPC, NCC
• Zoe McDonald
• Brittney Frances McGee

• Rehabilitation Clinic/Center in Wylie, TX
• Providers in Wylie, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.