Individual provider Active NPI

Charles Austin Mott, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1407580186
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1361337 Issued in TX
Practice address
5612 Edwards Ranch Road
Fort Worth, TX 76109
Phone
(817) 259-0600
NPI assigned
Jul 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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 1361337 TX Primary

Addresses

Primary practice location

5612 Edwards Ranch Road
Fort Worth, TX 76109

Mailing address

4418 Winding Creek CT
Arlington, TX 76016-3419

Other practice location 1

5632 Edwards Ranch Rd
Fort Worth, TX 76109-4148
Phone (817) 259-0600

Other names 1

  • Chase Mott Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Feb 15, 2023 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Feb 15, 2023 Accepting new patients

Locations

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

6407 Southwest Blvd
Benbrook, TX 76132
Phone (817) 423-5611

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

Organizations & group practices 2

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": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1407580186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 WINDING CREEK CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 EDWARDS RANCH ROAD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-259-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5632 Edwards Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761094148",
            "country_code": "US",
            "telephone_number": "817-259-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTT",
        "first_name": "CHARLES",
        "middle_name": "AUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1361337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASE",
            "last_name": "MOTT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.