Active NPI
Matthew Wiseman, DPT,PT
- Physical Therapist
- Fulshear, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1394746
- Practice address
- 29615 FM 1093 Rd Ste 2
Fulshear, TX 77441-3926 - Phone
- (281) 533-0507
- Fax
- (281) 533-0521
- NPI assigned
- Jan 21, 2011
- Last updated
- Mar 11, 2026
- Sex
- Male
- Sole proprietor
- No
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 | PT-3831 | ID | |
| Physical Therapist | 225100000X | 10358145-2401 | UT | |
| Physical Therapist | 225100000X | 1394746 | TX | Primary |
Addresses
Primary practice location
29615 FM 1093 Rd Ste 2
Fulshear, TX 77441-3926
Mailing address
29615 FM 1093 Rd Ste 2
Fulshear, TX 77441-3926
Phone (281) 533-0507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
29615 FM 1093 Rd
Suite 2
Fulshear, TX 77441-3926
Phone (281) 533-0507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-3831 | ID | MD | Physical Therapist |
| 1394746 | TX | MD | Physical Therapist |
| 10358145-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DMXQ, LLC | Physical Therapist | Current | Accepting new patients |
| Blue Lagune Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Star Therapy Centers Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Ellis Physical Therapy P a | Physical Therapist | Past | Accepting new patients |
| Ellis Physical Therapy and Associates LLC | Physical Therapist | Past | Accepting new patients |
| Star Therapy Centers Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
29615 FM 1093 Rd
Ste 2
Fulshear, TX 77441
Phone (281) 533-0507
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2
1115 Avenue D
Katy, TX 77493
Phone (281) 712-4835
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Physical Therapist
- Fulshear, TX
- NPI 1992109870
-
- Physical Therapist
- Katy, TX
- NPI 1699152074
-
- Physical Therapist
- Katy, TX
- NPI 1265946073
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
dba Star Therapy Services of Cinco Ranch
- Physical Therapist
- Katy, TX
- NPI 1710034756
-
- Physical Therapy Clinic/Center
- Idaho Falls, ID
- NPI 1821628645
Physical Therapist
-
- Physical Therapist
- Idaho Falls, ID
- NPI 1518203249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1184929168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29615 FM 1093 RD STE 2",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774413926",
"telephone_number": "281-533-0507",
"fax_number": "281-533-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29615 FM 1093 RD STE 2",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774413926",
"telephone_number": "281-533-0507",
"fax_number": "281-533-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "MATTHEW",
"credential": "DPT,PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-21",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-3831",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "10358145-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1394746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulshear, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.