Active NPI
Matthew Nevarez, PT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1720740434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1351402
- Practice address
- 1600 Texas St
Fort Worth, TX 76102-3400 - Phone
- (817) 338-3406
- NPI assigned
- Oct 10, 2021
- 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 Therapist | 225100000X | 1351402 | TX | Primary |
Addresses
Primary practice location
1600 Texas St
Fort Worth, TX 76102-3400
Mailing address
1600 Texas St
Fort Worth, TX 76102-3400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1351402 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633824000000",
"number": "1720740434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 TEXAS ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 TEXAS ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023400",
"telephone_number": "817-338-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVAREZ",
"first_name": "MATTHEW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-10",
"last_updated": "2021-10-10",
"certification_date": "2021-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1351402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Neurology Associates of Fort Worth
- Neurosurgical and Spine Consultants, PA
- Neurosurgical and Spine Consultants, PA
- Neurosurgical Associates of North Texas PLLC
- Neurosynaptic Monitoring LLC
- Amber N Nevels, DC
- Sharon Neves, LCDC
- Heather Leigh Neville, M.D.
- Kate E Neville, PT, DPT, CSCS
- Jason Nevoit, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.