NPIMap

Organization Active NPI

LP Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hillsboro, TX
National Provider Identifier
1861964231
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LP PHYSICAL THERAPY, LLC
Practice address
1305 E Elm St
Hillsboro, TX 76645-2645
Phone
(254) 582-2713
Fax
(254) 582-2717
NPI assigned
Dec 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Dr. Matthew Douglas Peacock, PT, DPTNPI 1134691504
Title
Owner
Phone
(254) 582-2713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

1305 E Elm St
Hillsboro, TX 76645-2645

Mailing address

1305 E Elm St
Hillsboro, TX 76645-2645
Phone (254) 582-2713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190206001166 TX Part B Supplier - Clinic/Group Practice 9234477837 Receives reassigned benefits from 7 practitioners
Practice locations: Whitney, TX; West, TX; Hubbard, TX; Hillsboro, TX; Alvarado, TX; Waxahachie, TX

National Provider Directory

National Provider Directory

Locations

925 N Cummings Dr
Alvarado, TX 76009
Phone (254) 582-2713

601 N Parkway Dr
Ste B
Alvarado, TX 76009
Phone (817) 402-5070

1305 E Elm St
Hillsboro, TX 76645
Phone (254) 582-2713

104 I 35 Hwy NE
Ste 181
Hillsboro, TX 76645
Phone (254) 582-2713

1324 Brown St
Ste 300
Waxahachie, TX 75165
Phone (254) 694-5682

1216 N Brazos St
Ste 100A
Whitney, TX 76692
Phone (254) 582-2713

1216 N Brazos St
#100
Whitney, TX 76692

1216 N Brazos St
#100A
Whitney, TX 76692

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1861964231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E ELM ST",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452645",
            "telephone_number": "254-582-2713",
            "fax_number": "254-582-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E ELM ST",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452645",
            "telephone_number": "254-582-2713",
            "fax_number": "254-582-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-582-2713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.