Individual provider Active NPI

Andrea Renee Mathis

  • Physical Therapist
  • Richardson, TX
National Provider Identifier
1124766753
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1365389 Issued in TX
Practice address
3261 E President George Bush Hwy Ste 115
Richardson, TX 75082-3508
Phone
(469) 947-6517
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 1365389 TX Primary

Addresses

Primary practice location

3261 E President George Bush Hwy Ste 115
Richardson, TX 75082-3508

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

8210 Walnut Hill Ln Ste 130
Dallas, TX 75231-4418
Phone (214) 750-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220922000317 TX Practitioner - Physical Therapist in Private Practice 2668857988 Reassigns benefits to 3 organizations
I20230828004057 VA Practitioner - Physical Therapist in Private Practice 2668857988 Reassigns benefits to 1 organization
I20231018000181 TN Practitioner - Physical Therapist in Private Practice 2668857988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

8210 Walnut Hill LN
Suite 130
Dallas, TX 75231-4418
Phone (214) 750-1207

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Oct 21, 2024 Accepting new patients
Ortholonestar, PLLC CurrentSince Oct 21, 2024 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Aug 30, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 10, 2023 Accepting new patients
Velocity Physical Therapy-Cross Roads, LLC Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Aug 30, 2023 Accepting new patients
Velocity Physical Therapy, LLC Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 10, 2023 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Jul 29, 2026 Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients
Peak Physical Therapy, LLC Physical Therapist PastSince Jul 29, 2026 Accepting new patients
Ortholonestar, PLLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

8800 US Highway 380
Ste 100
Cross Roads, TX 76227
Phone (940) 365-9200

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

8210 Walnut Hill Ln
Ste 130
Dallas, TX 75231
Phone (214) 750-1207

3301 Sundown Blvd
Denton, TX 76210
Phone (940) 387-3700

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

3261 E President George Bush Hwy
Ste 115
Richardson, TX 75082
Phone (469) 947-6517

308 Bolivar St
Sanger, TX 76266
Phone (940) 387-3700

5629 Plank Rd
Ste 107
Fredericksburg, VA 22407
Phone (540) 445-0206

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

Organizations & group practices 12

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1124766753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 E PRESIDENT GEORGE BUSH HWY STE 115",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823508",
            "telephone_number": "469-947-6517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Walnut Hill Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314418",
            "country_code": "US",
            "telephone_number": "214-750-1207",
            "fax_number": "214-750-8504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1365389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.