Active NPI
Reju Mathews
- Physical Therapy Assistant
- Richardson, TX
National Provider Identifier
1508300831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2113840
- Practice address
- 1350 E Lookout Dr
Richardson, TX 75082-4106 - Phone
- (972) 220-2000
- NPI assigned
- Dec 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2113840 | TX | Primary |
Addresses
Primary practice location
1350 E Lookout Dr
Richardson, TX 75082-4106
Mailing address
2000 E Arapaho Rd
Apt #22106
Richardson, TX 75081-3180
Phone (469) 371-2544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2113840 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1508300831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E ARAPAHO RD",
"address_2": "APT #22106",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750813180",
"telephone_number": "469-371-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E LOOKOUT DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824106",
"telephone_number": "972-220-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "REJU",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2113840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.