Individual provider Active NPI

Jarrad Clark Matthews, DPT

  • Physical Therapist
  • Prosper, TX
National Provider Identifier
1780083436
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1257203 Issued in TX
Practice address
2810 Fishtrap Rd Ste 40
Prosper, TX 75078-5153
Phone
(972) 400-1771
Fax
(972) 776-6208
NPI assigned
Aug 19, 2014
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60462371 WA
Physical Therapist 225100000X 1257203 TX Primary

Addresses

Primary practice location

2810 Fishtrap Rd Ste 40
Prosper, TX 75078-5153

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-5492

Other practice location 1

2765 E Eldorado Pkwy Ste 210
Little Elm, TX 75068-5607
Phone (972) 987-4927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404000144 TX Practitioner - Physical Therapist in Private Practice 5496052664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians

Practice addresses (Care Compare)

2765 E Eldorado Pkwy
210 Peak PT Little Elm
Little Elm, TX 75068-5607
Phone (972) 987-4927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60462371WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Sep 25, 2022 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Apr 18, 2016 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Apr 18, 2016 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

2765 E Eldorado Pkwy
Ste 210
Little Elm, TX 75068
Phone (972) 987-4927

2810 W 1st St
Ste 40
Prosper, TX 75078
Phone (972) 400-1771

5000 Main St
Ste 316
The Colony, TX 75056
Phone (469) 388-1139

Organizations & group practices 3

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1780083436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 FISHTRAP RD STE 40",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750785153",
            "telephone_number": "972-400-1771",
            "fax_number": "972-776-6208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2765 E Eldorado Pkwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750685607",
            "country_code": "US",
            "telephone_number": "972-987-4927",
            "fax_number": "972-987-4929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JARRAD",
        "middle_name": "CLARK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60462371",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1257203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.