Hugo Cesar Mata, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1337219 Issued in TX

Practice address

413 E Railroad Ave # a
Port Isabel, TX 78578-4133

Phone

(956) 443-3844

Fax

(956) 815-2019

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surge Mobile Physical Therapy PLLCGroup PAC ID 4284067786, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Surge Mobile Physical Therapy PLLC

  • Physical Therapist
  • Port Isabel, TX
  • NPI 1508411299
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1457964561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6986 LOS ARBOLES",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785216276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E RAILROAD AVE # A",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785784133",
            "telephone_number": "956-443-3844",
            "fax_number": "956-815-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "HUGO",
        "middle_name": "CESAR",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1337219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilyarden Lactation
• Luna Medical Clinic PLLC
• Gregory A Luna, PA
• Maria Luna
• Madre Bay Consulting and Psychological Services, PLLC
• Janis Mays, C.R.N.A.
• Linda McCampbell, FNP
• Ricardo Mendez, PA
• Esotarya Mitchell, ATC, MAT, LAT
• P I Medical Day & Night Clinic

• Physical Therapist in Port Isabel, TX
• Providers in Port Isabel, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.