BRAD ALAN MATLOCK


Address: 1713 S Fm 51 Ste 103, Decatur, TX 76234-3644
Phone: 9406276976

BRAD ALAN MATLOCK (NPI# 1790265528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790265528
Entity Type Individual
Full Name BRAD ALAN MATLOCK
Practice Address 1713 S Fm 51 Ste 103
Decatur
TX 76234-3644
Practice Telephone 9406276976
Practice Fax Number 9406273491
Mailing Telephone 9406276976
Mailing Fax Number 9406273491
Enumeration Date 2018-08-21
Last Update Date 2018-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2251G0304X Physical Therapist
Specialization: Geriatrics
1151923 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2251S0007X Physical Therapist
Specialization: Sports
1151923 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
1151923 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1713 S FM 51 STE 103
City DECATUR
State TX
Zip Code 76234-3644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699382879 Roanoke Foot & Ankle Institute, Pllc Podiatrist 1713 S Fm 51 Ste 103, Decatur, TX 76234-3644 2020-09-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477102028 Ursula Eileen Fernandez-plata Technician 1221 Cr 4371, Decatur, TX 76234 2019-09-06
1649772377 Stephanie Jennie Roddenberry Nurse Practitioner 2301 S Fm 51 Ste 500, Decatur, TX 76234 2018-03-08
1467731679 David Gatti Corless Dentist 301 W. Main St., Decatur, TX 76234 2011-08-05
1376830067 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 805 W Business Hwy 380, Decatur, TX 76234 2011-07-01
1356667844 Richard Ryan Ooten Specialist/Technologist, Other 239 Harvey Lane, Decatur, TX 76234 2010-04-09
1003049032 Advanced Gastroenterology Associates, Pa Internal Medicine 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 2009-08-25
1831346188 Rufus John Nelson Dentist 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 2008-08-19
1851558449 James Lee Hendrick Counselor 2304 Fm 51 South, Decatur, TX 76234 2008-05-21
1891964995 Sheryl A White Counselor 1106 E Business Hwy 380, Decatur, TX 76234 2008-02-22
1366625022 Tower Mutual Holding Company, Inc. Durable Medical Equipment & Medical Supplies 206 N. State Street, Decatur, TX 76234 2007-12-17
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598287609 Lance Frank Physical Therapist 755 Commerce Dr Ste 712, Decatur, GA 30030-2621 2017-07-11
1366514945 Patrick G Swinea Physical Therapist 1117 16th Ave Se, Decatur, AL 35601-3534 2006-11-15
1972539880 Donald J Crochet Physical Therapist 1382 Scott Blvd, Suite A, Decatur, GA 30030-1421 2006-06-23
1568737849 Myofascial Physiocare LLC Physical Therapist 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 2012-03-20
1750697033 Mary B Jesse Physical Therapist 1830 S 44th St, Decatur, IL 62521-5147 2010-08-25
1043461650 Alexandra Moran Physical Therapist 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 2008-10-02
1558433144 Brian P Robertson Physical Therapist 1117 16th Ave Se, Decatur, AL 35601-3534 2006-11-15
1720167083 Jessica E. Simbro Physical Therapist 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 2006-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245837889 Jeremy Tan Physical Therapist 505 S Friendswood Dr Ste 101, Friendswood, TX 77546-2254 2020-10-06
1184232100 Cindy Hon Pt Pllc Physical Therapist 3832 Gildas Path, Pflugerville, TX 78660-4168 2020-07-15
1114544095 Morgan Sanders Physical Therapist 2419 Tx 121, Bedford, TX 76021 2020-06-26
1790300226 Jave Del Rosario Physical Therapist 3601 N Macgregor Way Ste 514, Houston, TX 77004-8004 2020-06-10
1922634724 Carra Dudley Physical Therapist 415 E Parkwood Ave, Friendswood, TX 77546-5149 2020-03-13
1013542513 Alexis Nicole Shoope Physical Therapist 3300 Cummins St Apt 2329, Houston, TX 77027-5992 2020-03-05
1861026437 Robin Elizabeth Mcgee Physical Therapist 2555 Gulf Fwy S Ste 400, League City, TX 77573-6742 2020-02-23
1811520612 Christopher William Chenault X Physical Therapist 14857 Southwest Fwy # C303, Sugar Land, TX 77478-5016 2020-02-20
1770116584 Jordan William Ordoyne Physical Therapist 545 Creekside Xing Ste 138, New Braunfels, TX 78130-4271 2020-02-20
1972136851 Nicole Marie Baker Physical Therapist 9180 Pinecroft Dr, Shenandoah, TX 77380-2794 2020-02-19
Find all providers with the same taxonomy

Competitor

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City DECATUR
Zip Code 76234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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