Active NPI
Matthew Nguyen, P.T.
- Orthopedic Physical Therapist
- Bedford, TX
National Provider Identifier
1790185700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1249377
- Practice address
- 2419 Highway 121
Bedford, TX 76021-5011 - Phone
- (817) 540-4477
- Fax
- (817) 510-0185
- NPI assigned
- Aug 27, 2014
- Last updated
- Dec 10, 2015
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1249377 | TX | Primary |
Addresses
Primary practice location
2419 Highway 121
Bedford, TX 76021-5011
Mailing address
2419 Highway 121
Bedford, TX 76021-5011
Phone (817) 540-4477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 388651YTNB | Other | TX | MEDICARE PTAN |
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 |
|---|---|---|---|
| 1249377 | TX | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist McKinney Hospital LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1952538431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1790185700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 HIGHWAY 121",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215011",
"telephone_number": "817-540-4477",
"fax_number": "817-510-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 HIGHWAY 121",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215011",
"telephone_number": "817-540-4477",
"fax_number": "817-510-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MATTHEW",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-27",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1249377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "388651YTNB",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.