Individual provider Active NPI

Dawn Mattix

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1205946159
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT296437 Issued in CA
Practice address
4031 W Plano Pkwy
Ste 200
Plano, TX 75093-5619
Phone
(972) 867-9726
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 1201019 TX
Orthopedic Physical Therapist 2251X0800X 1201019 TX
Physical Therapist 225100000X PT296437 CA Primary

Addresses

Primary practice location

4031 W Plano Pkwy
Ste 200
Plano, TX 75093-5619

Mailing address

300 W Beech St Unit 2001
San Diego, CA 92101-8452
Phone (912) 655-0811

Other identifiers 1

IdentifierTypeStateIssuer
PT 21488OtherFLLICENSE #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT296437CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Makai Mobile Rehab, LLC CurrentSince Jun 8, 2025 Accepting new patients
Southern Care Physical Therapy Physical Therapist 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1205946159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BEECH ST UNIT 2001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018452",
            "telephone_number": "912-655-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935619",
            "telephone_number": "972-867-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIX",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1201019",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1201019",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT 21488",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.