Individual provider Active NPI

Matthew Schmidt, PT, DPT, CSCS

  • Physical Therapist
  • Bedford, TX
National Provider Identifier
1952855702
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1280249 Issued in TX
Practice address
2008 L Don Dodson Dr Ste 105
Bedford, TX 76021-1844
Phone
(817) 288-0121
NPI assigned
Aug 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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 1280249 TX Primary

Addresses

Primary practice location

2008 L Don Dodson Dr Ste 105
Bedford, TX 76021-1844

Mailing address

2008 L Don Dodson Dr Ste 105
Bedford, TX 76021-1844
Phone (817) 288-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, RI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161011001466 TX Practitioner - Physical Therapist in Private Practice 5395033187
I20171211000850 GA Practitioner - Physical Therapist in Private Practice 5395033187 Reassigns benefits to 1 organization
I20200413000532 RI Practitioner - Physical Therapist in Private Practice 5395033187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pappas Physical Therapy LLCGroup PAC ID 2567708233, 80 clinicians

Practice addresses (Care Compare)

1525 Smith St
Suite 5
North Providence, RI 02911-2959
Phone (401) 353-8884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1280249TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pappas Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Pappas Physical Therapy LLC CurrentSince Apr 1, 2020 Accepting new patients
Fox Rehabilitation Ga, LLC Physical Therapist CurrentSince Jun 26, 2017 Accepting new patients
Lepre Physical Therapy of North Providence, LLC Physical Therapist Past Accepting new patients
Nto Physician Partners, PLLC Past Accepting new patients

Locations

100 Bull St
Ste 200
Savannah, GA 31401
Phone (770) 478-3013

1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016

1539 Atwood Ave
Ste 202
Johnston, RI 02919
Phone (401) 351-0515

1525 Smith St
Ste 5
North Providence, RI 02911
Phone (401) 353-8884

Organizations & group practices 5

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1952855702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 L DON DODSON DR STE 105",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211844",
            "telephone_number": "817-288-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 L DON DODSON DR STE 105",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211844",
            "telephone_number": "817-288-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MATTHEW",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1280249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.