Individual provider Active NPI

Matthew Bierschenk, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1255825865
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1301103 Issued in TX
Practice address
2305 Donley Dr Ste 106
Austin, TX 78758-4535
Phone
(512) 266-1000
Fax
(512) 597-0898
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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 1301103 TX Primary

Addresses

Primary practice location

2305 Donley Dr Ste 106
Austin, TX 78758-4535

Mailing address

2305 Donley Dr Ste 106
Austin, TX 78758-4535
Phone (512) 266-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723001068 TX Practitioner - Physical Therapist in Private Practice 3072860063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly Mullen DC PLLCGroup PAC ID 7012273857, 3 clinicians

Practice addresses (Care Compare)

9800 N Lake Creek Pkwy
Suite 100
Austin, TX 78717-6072
Phone 51226610004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Mullen DC PLLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients

Locations

9800 N Lake Creek Pkwy
Ste 100
Austin, TX 78717
Phone (512) 900-9910

3310 W Braker Ln
Bldg 2-300
Austin, TX 78758
Phone 5122661000 ext. 4

5716 W Highway 290
Ste 106
Austin, TX 78735
Phone 51226610004

5716 W Highway 290
Austin, TX 78735
Phone (512) 266-1000

2305 Donley Dr
Ste 106
Austin, TX 78758
Phone (512) 266-1000

Organizations & group practices 1

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1255825865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 DONLEY DR STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584535",
            "telephone_number": "512-266-1000",
            "fax_number": "512-597-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 DONLEY DR STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584535",
            "telephone_number": "512-266-1000",
            "fax_number": "512-597-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERSCHENK",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1301103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.