Matthew Dobbins, DPT
Individual provider Active NPI Physical Therapist · Willow Park, TX
NPI 1740902147 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1740902147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1367351 (TX)
- Practice address
- 110 Mary Lou Dr Ste 100
Willow Park, TX 76087-8767 - Phone
- (817) 945-3344
- NPI assigned
- Sep 13, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endeavor Rehab Center Inc
Practice addresses (Care Compare)
110 Mary Lou Dr
Suite 100
Willow Park, TX 76087-8767
Phone (817) 423-5611
5632 Edwards Ranch Rd
Suite 110 Fort Worth Physical Therapy
Ft Worth, TX 76109-4102
Phone (817) 259-0600
6141 McPherson Blvd
Suite 151
Fort Worth, TX 76123-1266
Phone (817) 439-1222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523002652 | TX | Practitioner - Physical Therapist in Private Practice | 5496197329 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1367351 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Rehab Center Inc | Physical Therapist | Current |
Accepting new patients |
| Endeavor Rehab Center Inc | Physical Therapist | Current |
Accepting new patients |
| Green Oaks Physical Therapy Limited Partnership | Physical Therapist | Past |
Accepting new patients |
| Green Oaks Physical Therapy Limited Partnership | Physical Therapist | Past |
Accepting new patients |
Locations
6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533
5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600
896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262
110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1367351 | TX | Yes |
Addresses
Primary practice location
110 Mary Lou Dr Ste 100
Willow Park, TX 76087-8767
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Phone (817) 945-3344
Other providers in Willow Park, TX
- Daniel Dalton Dubose, MD, PA
- Caleb Davis
- Lydia Deanda
- Lauren Debolt
- Misty Diaz
- Skylar Dominguez
- Ashley Drake Mertz
- Chad Lamar Drennan
- Michael Ross Drennan
- Brynn Dunn
All providers in Willow Park, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.