Active NPI
Linda Louise Mathurin, PT
- Physical Therapist
- Round Rock, TX
National Provider Identifier
1275013260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1128676
- Practice address
- 17751 Park Valley Dr
Round Rock, TX 78681-3592 - Phone
- (512) 218-6013
- NPI assigned
- Aug 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1128676 | TX | Primary |
Addresses
Primary practice location
17751 Park Valley Dr
Round Rock, TX 78681-3592
Mailing address
8601 Tomcat CV
Round Rock, TX 78681-3675
Phone (512) 567-4406
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, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2537 Golden Bear Dr
Carrollton, TX 75006-2377
8601 Tomcat CV
Round Rock, TX 78681-3675
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Physical Therapist
- Addison, TX
- NPI 1063243640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534636800000",
"number": "1275013260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 TOMCAT CV",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813675",
"telephone_number": "512-567-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17751 PARK VALLEY DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813592",
"telephone_number": "512-218-6013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHURIN",
"first_name": "LINDA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-19",
"last_updated": "2018-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1128676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.