Individual provider Active NPI

Michaela Matherne, PT, DPT

  • Physical Therapist
  • Sun City, AZ
National Provider Identifier
1124825484
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP052517T Issued in AZ
Practice address
10503 W Thunderbird Blvd Ste 263a
Sun City, AZ 85351-3048
Phone
(623) 888-3370
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP052517T AZ Primary
Physical Medicine & Rehabilitation Physician 208100000X CP042470T TX
Physical Medicine & Rehabilitation Physician 208100000X 11980 LA

Addresses

Primary practice location

10503 W Thunderbird Blvd Ste 263a
Sun City, AZ 85351-3048

Mailing address

10503 W Thunderbird Blvd Ste 263a
Sun City, AZ 85351-3048
Phone (623) 888-3370

Other practice location 1

300A University Blvd
Round Rock, TX 78665-1032
Phone (737) 237-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11980LAMDPhysical Medicine & Rehabilitation Physician
CP042470TTXMDPhysical Medicine & Rehabilitation Physician
CP052517TAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bir JV LLP PastSince Mar 11, 2025 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

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": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1124825484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 263A",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513048",
            "telephone_number": "623-888-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 263A",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513048",
            "telephone_number": "623-888-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300A University Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651032",
            "country_code": "US",
            "telephone_number": "737-237-0046",
            "fax_number": "512-792-2936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHERNE",
        "first_name": "MICHAELA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP052517T",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "CP042470T",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "11980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.