Active NPI
Mata Physical Therapy Clinic
- Physical Therapy Clinic/Center
- McAllen, TX
National Provider Identifier
1336369842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1023703
- Legal business name
- MATA PHYSICAL THERAPY CLINIC
- Practice address
- 5210 N 10TH St
McAllen, TX 78504-2701 - Phone
- (956) 686-4646
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ruth C Mata
- Title
- Office Manager
- Phone
- (956) 686-4646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1023703 | TX | Primary |
Addresses
Primary practice location
5210 N 10TH St
McAllen, TX 78504-2701
Mailing address
PO Box 720267
McAllen, TX 78504-0267
Phone (956) 686-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087748201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5210 N 10th St
McAllen, TX 78504
Phone (956) 686-4646
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- McAllen, TX
- NPI 1902948185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222992000000",
"number": "1336369842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720267",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785040267",
"telephone_number": "956-686-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 N 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785042701",
"telephone_number": "956-686-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATA PHYSICAL THERAPY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2008-10-03",
"status": "A",
"authorized_official_last_name": "MATA",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "956-686-4646",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "1023703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "087748201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.