Active NPI
Michaela Matherne, PT, DPT
- Physical Therapist
- Sun City, AZ
National Provider Identifier
1124825484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP052517T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11980 | LA | MD | Physical Medicine & Rehabilitation Physician |
| CP042470T | TX | MD | Physical Medicine & Rehabilitation Physician |
| CP052517T | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bir JV LLP | Past | 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.
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
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.