Active NPI
Matthew Schimpf, PT, DPT
- Physical Therapist
- Tyler, TX
National Provider Identifier
1891464772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1301956
- Practice address
- 4135 S Broadway Ave
Tyler, TX 75701-8720 - Phone
- (903) 581-8662
- Fax
- (903) 581-7808
- NPI assigned
- Sep 13, 2021
- Sex
- Male
- Sole proprietor
- No
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.
-
- Physical Therapy Clinic/Center
- Fort Worth, TX
- NPI 1750049656
-
- Family Medicine Physician
- Jacksonville, TX
- NPI 1942587159
-
- Durable Medical Equipment & Medical Supplies
- Tyler, TX
- NPI 1063663227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210922001999 | TX | Practitioner - Physical Therapist in Private Practice | 3577960236 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1301956 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ault McInnis PLLC | Current | Accepting new patients | |
| Apec Holdings Corp, LLC | Physical Therapist | Current | Accepting new patients |
| Performancepro Sports Medicine and Rehabilitation | Past | 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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1301956 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4135 S Broadway Ave
Tyler, TX 75701-8720
Mailing address
4135 S Broadway Ave
Tyler, TX 75701-8720
Phone (903) 581-8662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2021.
{
"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.