Individual provider Active NPI

Madeline Mistich, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1972286755
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1381163 Issued in TX
Practice address
2829 Babcock Rd
San Antonio, TX 78229-6028
Phone
(210) 281-9595
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1381163 TX Primary
Physical Therapist 225100000X CP051157T VA

Addresses

Primary practice location

2829 Babcock Rd
San Antonio, TX 78229-6028

Mailing address

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991

Other practice location 1

201 Bulifants Blvd Ste B
Williamsburg, VA 23188-5731
Phone (757) 229-9740

Other practice location 2

5388 Discovery Park Blvd Ste 100
Williamsburg, VA 23188-8218
Phone (757) 903-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230923000216 TX Practitioner - Physical Therapist in Private Practice 7719331842 Reassigns benefits to 1 organization
I20260115000257 VA Practitioner - Physical Therapist in Private Practice 7719331842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians
Comber Physical Therapy LLCGroup PAC ID 3678467974, 16 clinicians

Practice addresses (Care Compare)

2829 Babcock Rd
Suite 700
San Antonio, TX 78229-6015
Phone (210) 804-5400

5388 Discovery Park Blvd
Suite 100
Williamsburg, VA 23188-2695
Phone (757) 903-4230

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP051157TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comber Physical Therapy, LLC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Aug 9, 2023 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Aug 9, 2023 Accepting new patients
Fusion Chiropractic, LLC PastSince Dec 29, 2015 Accepting new patients

Locations

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 396-5270

5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955

201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740

5388 Discovery Park Blvd
#2
Williamsburg, VA 23188

Interoperability endpoints

  • Direct secure messaging: madeline.mistich.1@94.direct.athenahealth.com

Organizations & group practices 4

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1972286755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296028",
            "telephone_number": "210-281-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885731",
            "country_code": "US",
            "telephone_number": "757-229-9740",
            "fax_number": "757-229-9741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5388 Discovery Park Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888218",
            "country_code": "US",
            "telephone_number": "757-903-4230",
            "fax_number": "757-903-4231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISTICH",
        "first_name": "MADELINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1381163",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP051157T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.