Matthew William Mainelli, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1364676 Issued in TX

Practice address

2501 S Capital of Texas Hwy
West Lake Hills, TX 78746-7742

Phone

(512) 225-6909

NPI assigned

Aug 6, 2022

Last updated

May 24, 2023By 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

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.

• Elite Athletic Therapy, PLLC

  dba Austin Physical Therapy

  • Physical Therapy Clinic/Center
  • West Lake Hills, TX
  • NPI 1306207915

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1477280634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 IOWA AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033425",
            "telephone_number": "727-667-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S CAPITAL OF TEXAS HWY",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787467742",
            "telephone_number": "512-225-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINELLI",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-06",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1364676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anshu Luthar, MD
• Sumayah Downey Luxton, LPC
• Saskia M Lytle-Vieira, DO
• Barbara Elaine Macpherson, MSN RN CNS PMNHP
• Bonnie Madison, MA
• Dimple Malhotra, PNP
• Royd E Malmstrom
• Jessica Kate Malsky, APRN, FNP-C
• Mamd Plastic Surgery PLLC (Face Austin)
• Mana Koa Health LLC

• Physical Therapist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.