Active NPI
Joseph C Mathew, BA,BS, MS, PT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1770703399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1266919
- Practice address
- 5959 Harry Hines Blvd FL 1
Dallas, TX 75235-6234 - Phone
- (214) 645-2080
- NPI assigned
- Apr 26, 2007
- Last updated
- Jun 5, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21113 | MD | |
| Physical Therapist | 225100000X | 025146 | NY | |
| Physical Therapist | 225100000X | 1266919 | TX | Primary |
Addresses
Primary practice location
5959 Harry Hines Blvd FL 1
Dallas, TX 75235-6234
Mailing address
23 Ridge CT
Hauppauge, NY 11788-4748
Phone (631) 415-4339
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
- Credentials
- Bachelor of Arts, Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025146 | NY | MD | Clinical Psychologist |
| 21113 | MD | MD | Physical Therapist |
| 1266919 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Physical Therapist | Past | Accepting new patients |
Locations
12500 Dallas Pkwy
Frisco, TX 75033
Phone (469) 604-9000
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Physical Therapist
- Dallas, TX
- NPI 1386619237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1770703399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 RIDGE CT",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884748",
"telephone_number": "631-415-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 HARRY HINES BLVD FL 1",
"city": "DALLAS",
"state": "TX",
"postal_code": "752356234",
"telephone_number": "214-645-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "BA,BS, MS, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21113",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025146",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1266919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.