Individual provider Active NPI

Amanda L Matt, PT

  • Physical Therapist
  • Baytown, TX
National Provider Identifier
1548523145
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1217288 Issued in TX
Practice address
3711 Garth Rd Ste 100
Baytown, TX 77521-3176
Phone
(281) 420-3000
NPI assigned
Jun 19, 2012
Last updated
May 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 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 1217288 TX Primary

Addresses

Primary practice location

3711 Garth Rd Ste 100
Baytown, TX 77521-3176

Mailing address

3711 Garth Rd Ste 100
Baytown, TX 77521-3176
Phone (281) 420-3000

Other practice location 1

605 Rockmead Dr
Suite 200
Kingwood, TX 77339-2254
Phone (281) 348-9588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000765 TX Practitioner - Physical Therapist in Private Practice 4981853512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3050 Dowlen Rd
Suite L
Beaumont, TX 77706-7285
Phone (409) 861-4606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1217288TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraworks Inc Physical Therapist CurrentSince Jun 7, 2012 Accepting new patients
Select Physical Therapy Texas Limited Partnership CurrentSince Jul 1, 2017 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Theraworks Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients

Locations

3711 Garth Rd
Ste 100
Baytown, TX 77521
Phone (281) 420-3000

3050 Dowlen Rd
Ste L
Beaumont, TX 77706
Phone (409) 861-4606

605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588

6807 Emmett F Lowry Expy
Ste 103
Texas City, TX 77591
Phone (409) 935-2840

7111 Medical Center Dr
Ste 111
Texas City, TX 77591
Phone (409) 935-2840

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1548523145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 GARTH RD STE 100",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213176",
            "telephone_number": "281-420-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 GARTH RD STE 100",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213176",
            "telephone_number": "281-420-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Rockmead Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392254",
            "country_code": "US",
            "telephone_number": "281-348-9588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATT",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1217288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.