Individual provider Active NPI

Laura Mata, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1346588969
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1227079 Issued in TX
Practice address
11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone
(814) 692-8163
Fax
(281) 469-5559
NPI assigned
Jan 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 115015 TX
Physical Therapist 225100000X 1227079 TX Primary

Addresses

Primary practice location

11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635

Mailing address

11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone (814) 692-8163

Other practice location 1

520 Fielder North Plz
Arlington, TX 76012-2309
Phone (817) 461-4257

Other practice location 2

23780 Highway 59 N
Kingwood, TX 77339-1529
Phone (281) 358-1838

Other practice location 3

4009 Bellaire Blvd Ste M
Houston, TX 77025-1168
Phone (713) 839-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130521000065 TX Practitioner - Physical Therapist in Private Practice 2860630464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingwood Physical Therapy LTDGroup PAC ID 1759488125, 24 clinicians

Practice addresses (Care Compare)

21301 Kuykendahl Rd
Suite B
Spring, TX 77379-2614
Phone (281) 379-2102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1227079TXMDPhysical Therapist
115015TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingwood Physical Therapy LTD. Physical Therapist CurrentSince Jun 24, 2020 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Jun 24, 2020 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist CurrentSince Jun 24, 2020 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Jun 24, 2020 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist Current Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist Past Accepting new patients
Crossroads Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Kingwood Physical Therapy LTD Past Accepting new patients

Locations

15201 Mason Rd
Ste 800
Cypress, TX 77433
Phone (713) 609-9224

21211 FM 529 Rd
Ste 102
Cypress, TX 77433
Phone (832) 295-0650

29615 FM 1093 Rd
Ste 2
Fulshear, TX 77441
Phone (281) 533-0507

4009 Bellaire Blvd
Ste M
Houston, TX 77025
Phone (713) 839-7800

8955 Highway 6 N
Ste 190
Houston, TX 77095
Phone (832) 593-8600

11242 FM 1960 Rd W
Ste 104
Houston, TX 77065
Phone (281) 469-8163

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

2840 Commercial Center Blvd
Ste 103
Katy, TX 77494
Phone (281) 693-1063

21707 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 398-8235

23780 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-1838

21301 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (281) 379-2102

Organizations & group practices 8

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": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1346588969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 FM 1960 RD W STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653635",
            "telephone_number": "814-692-8163",
            "fax_number": "281-469-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11242 FM 1960 RD W STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653635",
            "telephone_number": "814-692-8163",
            "fax_number": "281-469-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Fielder North Plz",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760122309",
            "country_code": "US",
            "telephone_number": "817-461-4257",
            "fax_number": "817-461-4865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23780 Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773391529",
            "country_code": "US",
            "telephone_number": "281-358-1838",
            "fax_number": "281-358-1812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4009 Bellaire Blvd Ste M",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251168",
            "country_code": "US",
            "telephone_number": "713-839-7800",
            "fax_number": "713-839-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATA",
        "first_name": "LAURA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115015",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1227079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.