Individual provider Active NPI

Matthew Lawrence, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1710507835
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1328753 Issued in TX
Practice address
3435 Greystone Dr Ste 104
Austin, TX 78731-2363
Phone
(512) 394-7581
NPI assigned
Apr 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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 1328753 TX Primary

Addresses

Primary practice location

3435 Greystone Dr Ste 104
Austin, TX 78731-2363

Mailing address

1500 E Riverside Dr Apt 121
Austin, TX 78741-1132
Phone (330) 310-7328

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mflawrence@carterhealthcare.com

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

LicenseStateTypeSpecialty
1328753TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omnipresent Homecare Inc PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1710507835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E RIVERSIDE DR APT 121",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411132",
            "telephone_number": "330-310-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 GREYSTONE DR STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312363",
            "telephone_number": "512-394-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1328753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mflawrence@carterhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "address_1": "3435 Greystone Dr Ste 104",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787312363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.