Individual provider Active NPI

Kevin Joseph Mathew, PT, DPT

  • Orthopedic Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1326700816
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1351311 Issued in TX
Practice address
8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone
(225) 767-8182
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1351311 TX Primary

Addresses

Primary practice location

8448 Siegen LN
Baton Rouge, LA 70810-1938

Mailing address

825 Burgess LN
Murphy, TX 75094-3336
Phone (972) 422-6331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608002302 TX Practitioner - Physical Therapist in Private Practice 0446617369 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therarehab and Wellness PLLCGroup PAC ID 0941677066, 4 clinicians

Practice addresses (Care Compare)

4300 N Central Expy
Suite 325
Dallas, TX 75206-6507
Phone (469) 902-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1351311TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewy Physical Therapy Inc CurrentSince Oct 17, 2021 Accepting new patients
Vista JV Partners LLC Orthopedic CurrentSince Mar 30, 2023 Accepting new patients
Therarehab and Wellness PLLC Orthopedic CurrentSince May 12, 2025 Accepting new patients
Vista Physical Therapy LLC Orthopedic CurrentSince May 1, 2023 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

8448 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 757-0164

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

4300 N Central Expy
Ste 325
Dallas, TX 75206
Phone (469) 249-6507

1350 S Loop 288
Denton, TX 76205
Phone (940) 290-0500

6060 Rocky Point Trl
Ste 100
Lake Worth, TX 76135
Phone (682) 289-9840

2758 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (972) 681-1155

4740 14th St
Ste T3
Plano, TX 75074

435 W President George Bush Hwy
Ste 100
Richardson, TX 75080
Phone (214) 383-9930

7720 Highway 78
Sachse, TX 75048
Phone (972) 761-5501

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1326700816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BURGESS LN",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943336",
            "telephone_number": "972-422-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8448 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101938",
            "telephone_number": "225-767-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1351311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.