Individual provider Active NPI

Amanda Matto, PT, DPT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1841773272
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5803 W Northern Ave Ste 110
Glendale, AZ 85301-1362
Phone
(623) 295-3699
Fax
(623) 322-0654
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 PTLP.0000137 CO
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5803 W Northern Ave Ste 110
Glendale, AZ 85301-1362

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Amanda McLaughlin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011001551 TX Practitioner - Physical Therapist in Private Practice 0941676233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1555 US Hwy 380
Suite 900
Frisco, TX 75033-0178
Phone (972) 346-5634

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTLP.0000137COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Sep 12, 2022 Accepting new patients

Locations

5803 W Northern Ave
Ste 110
Glendale, AZ 85301
Phone (623) 295-3699

790 Remington Blvd
Bolingbrook, IL 60440

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

1555 US Highway 380
Ste 900
Frisco, TX 75033
Phone (972) 346-5634

6828 Stonebrook Pkwy
Ste 300
Frisco, TX 75034
Phone (469) 403-2022

2180 FM 423
Ste 300
Little Elm, TX 75068
Phone (469) 403-2242

3001 S Hardin Blvd
Ste 120
McKinney, TX 75070
Phone (469) 748-3055

3520 W University Dr
Ste 201
McKinney, TX 75071
Phone (469) 307-5674

1180 E Prosper Trl
Ste 50
Prosper, TX 75078
Phone (469) 481-3031

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

3751 Main St
Ste 100
The Colony, TX 75056
Phone (469) 476-3523

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1841773272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 W NORTHERN AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011362",
            "telephone_number": "623-295-3699",
            "fax_number": "623-322-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTO",
        "first_name": "AMANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTLP.0000137",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MCLAUGHLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.