UPSTATE PHYSICAL THERAPY PC
NPI 1053417410
Physical Therapist in Denton, TX
About Upstate Physical Therapy Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPSTATE PHYSICAL THERAPY PC (NPI 1053417410) is a healthcare organization registered as a physical therapist in Denton, Texas and active in the NPI registry since September 2006. The organization lists Matthew Lawrence Infanzon, Owner Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upstate Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Upstate Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Upstate Physical Therapy PC's NPI number?
The NPI number for Upstate Physical Therapy PC is 1053417410. It was assigned to this organization in the NPPES registry on September 15, 2006.
Where is Upstate Physical Therapy PC located?
Upstate Physical Therapy PC is located at 4401 North I-35 Suite 110, Denton, TX 76207. The listed phone number is (940) 483-9020.
What is Upstate Physical Therapy PC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Upstate Physical Therapy PC enrolled in Medicare?
Yes. Upstate Physical Therapy PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upstate Physical Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Upstate Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Upstate Physical Therapy PC accept?
Health plans from Molina Healthcare and WellPoint list Upstate Physical Therapy PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Upstate Physical Therapy PC was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Upstate Physical Therapy Pc · NPI 1053417410
Physical Therapist organization in Denton, Texas. Organization record, active in the CMS NPPES registry since September 15, 2006.
## Identity
- **NPI:** 1053417410 (Entity type: Organization)
- **Enumerated:** September 15, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Matthew Infanzon, OWNER PHYSICAL THERAPIST
## Practice location
- **Address:** 4401 NORTH I-35, SUITE 110, Denton, TX 76207
- **Phone:** (940) 483-9020 · **Fax:** (940) 483-9021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2013
- **Other identifiers:** Other 4LV (TX); Medicare ID-Type Unspecified 00606X (TX); Medicaid 168705501 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1053417410) · Data from the CMS NPPES public registry.