Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Thomas Randel

Individual provider Physical Therapist · NPI 1114393139

Matthew Thomas Randel is a Physical Therapist in Private Practice in San Antonio, Texas. Qualified in 2015, 11 years ago. Practices with Southlake Bnpt Investment LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

1901 Babcock Rd Ste 304
San Antonio, TX 78229-4546
Phone: (210) 680-5033
Fax: (210) 680-6094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1262588 (TX)

Record details

NPI number1114393139
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2015
Last updated in NPPESAugust 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southlake Bnpt Investment Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in San Antonio