| Matthew Thompson, DPT | |
|
731 E Southlake Blvd Ste 150, Southlake, TX 76092-6380 | |
| (817) 442-8600 | |
| (817) 442-8603 |
| Full Name | Matthew Thompson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 731 E Southlake Blvd Ste 150, Southlake, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144775164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 040704 (New York) | Secondary |
| 225100000X | Physical Therapist | 070022883 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 1348341 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coppell Spine And Sports Rehab Limited Partnership | 1850200551 | 8 |
| Provider Name | Coppell Spine & Sports Rehab Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1720276652 PECOS PAC ID: 1850200551 Enrollment ID: O20050211000129 |
| Provider Name | Achieve Physical Therapy And Performance Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1144600362 PECOS PAC ID: 3678889672 Enrollment ID: O20150908000889 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190128000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Thompson, DPT Po Box 2650, Coppell, TX 75019-8607 Ph: (972) 724-2400 | Matthew Thompson, DPT 731 E Southlake Blvd Ste 150, Southlake, TX 76092-6380 Ph: (817) 442-8600 |
Ginamar Magalhaes, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1959 W Southlake Blvd Ste 180, Southlake, TX 76092 Phone: 972-532-3539 | |
Erin Goebel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108 | |
Mikaela Whatley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 E State Highway 114 Ste 101, Southlake, TX 76092 Phone: 469-919-6299 | |
Mrs. Lisa Alice Redding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Whitney Holmans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 682-651-1909 | |
Gabe Kyei, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Surrey Ct, Southlake, TX 76092 Phone: 817-917-3048 | |
Jennifer Merimonti, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Watermere Dr., Southlake, TX 76092 Phone: 817-431-8668 |