Individual provider Active NPI

Matthew Schimpf, PT, DPT

  • Physical Therapist
  • Tyler, TX
National Provider Identifier
1891464772
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1301956 Issued in TX
Practice address
4135 S Broadway Ave
Tyler, TX 75701-8720
Phone
(903) 581-8662
Fax
(903) 581-7808
NPI assigned
Sep 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1301956 TX Primary

Addresses

Primary practice location

4135 S Broadway Ave
Tyler, TX 75701-8720

Mailing address

4135 S Broadway Ave
Tyler, TX 75701-8720
Phone (903) 581-8662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922001999 TX Practitioner - Physical Therapist in Private Practice 3577960236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apec Holdings Corp, LLC Physical Therapist CurrentSince Dec 20, 2022 Accepting new patients
Ault McInnis PLLC CurrentSince Jan 2, 2025 Accepting new patients
Performancepro Sports Medicine and Rehabilitation PastSince Sep 8, 2021 Accepting new patients

Locations

2600 Alemeda St
Fort Worth, TX 76108
Phone (305) 519-0857

2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1891464772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018720",
            "telephone_number": "903-581-8662",
            "fax_number": "903-581-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018720",
            "telephone_number": "903-581-8662",
            "fax_number": "903-581-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMPF",
        "first_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1301956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.