Matthew Chase Ferguson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2142878 Issued in TX

Practice address

1111 Rockingham Dr
Richardson, TX 75080-4309

Phone

(971) 231-8833

NPI assigned

Oct 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1922575299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W LAKE PARK RD APT 925",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573888",
            "telephone_number": "903-738-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ROCKINGHAM DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804309",
            "telephone_number": "971-231-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "MATTHEW",
        "middle_name": "CHASE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2142878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cori Feldman
• Leslie Felix
• Elizabeth Lea Fell, MS CCC SLP
• Amy Marie Fellers, SLP
• Anna Adelgunde Felsl, PHD
• Devin Fernandez
• Lina M Fernandez, AGPCNP-BC
• Vilma Fernandez
• Ariam Ferow, M.S. CF-SLP
• William Ffranz

• Physical Therapy Assistant in Richardson, TX
• Providers in Richardson, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.