Individual provider Active NPI

Sudha Mathai, PT

  • Physical Therapist
  • North Richland Hills, TX
National Provider Identifier
1295174035
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1203278 Issued in TX
Practice address
8700 N Tarrant Pkwy
Suite 113
North Richland Hills, TX 76182-8464
Phone
(817) 498-8344
Fax
(817) 498-8702
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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 1203278 TX Primary

Addresses

Primary practice location

8700 N Tarrant Pkwy
Suite 113
North Richland Hills, TX 76182-8464

Mailing address

8700 N Tarrant Pkwy
Suite 113
North Richland Hills, TX 76182-8464
Phone (817) 498-8344

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

LicenseStateTypeSpecialty
1203278TXMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1295174035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 N TARRANT PKWY",
            "address_2": "SUITE 113",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828464",
            "telephone_number": "817-498-8344",
            "fax_number": "817-498-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 N TARRANT PKWY",
            "address_2": "SUITE 113",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828464",
            "telephone_number": "817-498-8344",
            "fax_number": "817-498-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "SUDHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1203278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.