Matthew Flores, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2098017 Issued in TX

Practice address

1600 Texas St
Fort Worth, TX 76102-3400

Phone

(817) 338-2400

NPI assigned

Jun 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1780314369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 COMITA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321507"
        },
        {
            "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": "817-338-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MATTHEW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2098017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Flores, M.S. CCC-SLP
• Jonathan Flores, PA
• Joshua Ryan Flores, PT, DPT
• Joy Nicole Flores, M. A. LPC- ASSOCIATE
• Laura Flores, DPT
• Melissa Jane Flores
• Michael R Flores, LPC
• Tristan Brooke Flores, MSN, NNP-BC
• Victor H Flores, MD
• Virginia Flores, LCSW

• Physical Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.