Upstate Physical Therapy PC
Upstate Physical Therapy PC is a healthcare organization registered as Physical Therapist in Denton, TX, holding Type 2 (organization) NPI 1053417410 since 2006. The authorized official on file is Matthew Infanzon, Owner Physical Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053417410 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Upstate Physical Therapy PC |
| Practice address | 4401 NORTH I-35, SUITE 110, Denton, TX, 76207 |
| Phone | 9404839020 |
| Fax | 9404839021 |
| Enumeration date | 2006-09-15 |
| Last updated in NPPES | 2013-04-18 |
Authorized official
| Name | Matthew Infanzon |
|---|---|
| Title | Owner Physical Therapist |
| Phone | 9404839020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | 655410000 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4LV | Other | TX | BCBS OF TX GROUP NUMBER |
| 168705501 | Medicaid | TX | — |
Copy-ready billing details
Provider: Upstate Physical Therapy PC NPI: 1053417410 Taxonomy: 225100000X (Physical Therapist) Address: 4401 NORTH I-35, SUITE 110, Denton, TX, 76207
Verify this record
Cross-check NPI 1053417410 against the authoritative CMS record: view Upstate Physical Therapy PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Upstate Physical Therapy PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-04-18.