Individual provider Active NPI

Matthew Eloy Carrillo, DPT

  • Physical Therapist
  • Prosper, TX
National Provider Identifier
1407673668
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1404180 Issued in TX
Practice address
241 N Preston Rd # 8
Prosper, TX 75078-9895
Phone
(214) 227-7224
Fax
(214) 305-4077
NPI assigned
Sep 20, 2024
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 1404180 TX Primary

Addresses

Primary practice location

241 N Preston Rd # 8
Prosper, TX 75078-9895

Mailing address

PO Box 2650
Coppell, TX 75019-8607
Phone (972) 724-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000673 TX Practitioner - Physical Therapist in Private Practice 7719408673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

241 N Preston Rd
Suite B
Prosper, TX 75078-9896
Phone (214) 227-7224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Physical Therapy and Performance Limited Partnership Physical Therapist CurrentSince Feb 7, 2025 Accepting new patients
Coppell Spine & Sports Rehab Limited Partnership Physical Therapist CurrentSince Feb 7, 2025 Accepting new patients
Coppell Spine & Sports Rehab Limited Partnership Physical Therapist CurrentSince Feb 7, 2025 Accepting new patients
Coppell Spine & Sports Rehab Limited Partnership Physical Therapist Current Accepting new patients
Frisco Physical Therapy Limited Partnership Physical Therapist PastSince Feb 7, 2025 Accepting new patients

Locations

631 W FM 544
Ste 200
Murphy, TX 75094
Phone (972) 200-4370

2200 Los Rios Blvd
Ste 132
Plano, TX 75074
Phone (972) 509-5070

8608 Preston Rd
Ste 110
Plano, TX 75024
Phone (214) 432-5862

241 N Preston Rd
Ste B
Prosper, TX 75078
Phone (214) 227-7224

Organizations & group practices 5

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1407673668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N PRESTON RD # 8",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789895",
            "telephone_number": "214-227-7224",
            "fax_number": "214-305-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "MATTHEW",
        "middle_name": "ELOY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1404180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.