MATRIX REHABILITATION, INC. (NPI# 1114962636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114962636 |
| Entity Type | Organization |
| Organization Name | MATRIX REHABILITATION, INC. |
| Other Organization Name | SELECT PHYSICAL THERAPY |
| Practice Address |
15 Penny Ln Suite 4 Watsonville CA 95076-6010 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 8317248235 |
| Practice Fax Number | 8317249099 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Select Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385017 | Matrix Rehabilitation, Inc. | Clinic/Center | 420 E 3rd St Ste 701, Los Angeles, CA 90013-1646 | 2020-01-23 |
| 1194281550 | Matrix Rehabilitation, Inc. | Clinic/Center | 15585 Monterey Rd Ste D, Morgan Hill, CA 95037 | 2019-02-11 |
| 1649472135 | Matrix Rehabilitation, Inc. | Clinic/Center | 9829 Carmenita Road, Suite D, Whittier, CA 90605-3266 | 2007-06-05 |
| 1306872163 | Matrix Rehabilitation, Inc. | Clinic/Center | 41945 Big Bear Boulevard, Suite 209, Big Bear Lake, CA 92315-9998 | 2006-06-24 |
| 1649206467 | Matrix Rehabilitation, Inc. | Clinic/Center | 707 Lincoln Ctr, Stockton, CA 95207-2644 | 2006-06-23 |
| 1518902667 | Matrix Rehabilitation, Inc. | Clinic/Center | 27071 Cabot Rd, Suite 114, Laguna Hills, CA 92653-7011 | 2006-06-20 |
| 1710922869 | Matrix Rehabilitation, Inc. | Clinic/Center | 750 W Route 66, Suite N, Glendora, CA 91740-4164 | 2006-06-20 |
| 1558306696 | Matrix Rehabilitation, Inc. | Clinic/Center | 6180 Brockton Ave, Suite 101, Riverside, CA 92506-2259 | 2006-06-20 |
| 1427093822 | Matrix Rehabilitation, Inc. | Clinic/Center | 1176 N Euclid St, Anaheim, CA 92801-1900 | 2006-06-19 |
| 1871538264 | Matrix Rehabilitation, Inc. | Clinic/Center | 1520 Nutmeg Pl Ste 111, Costa Mesa, CA 92626-2557 | 2006-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MATRIX REHABILITATION, INC. | 300 Deschutes Way Sw Ste 208 Mc-Csc1, Tumwater, WA 98501 |
| Colorado Business Entities | MATRIX REHABILITATION, INC. | 101 Lindenwood Drive, Suite 420, Malvern, PA 19355 |
| Ohio Business Entities | MATRIX REHABILITATION, INC. | 5111 Rogers Ave, #40-a, Ft Smith, AR 72919-0155 |
| Street Address |
15 PENNY LN SUITE 4 |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366858821 | Ashleigh Ann Lyman | Physical Therapist | 15 Penny Ln, Suite 4, Watsonville, CA 95076-6010 | 2014-07-06 |
| 1669775664 | Dawn Christy Watkins | Physical Therapy Assistant | 15 Penny Ln, Suite 4, Watsonville, CA 95076-6010 | 2010-12-13 |
| 1740580190 | Jennifer J Putt | Physical Therapist | 15 Penny Ln, Suite 4, Watsonville, CA 95076-6010 | 2010-11-01 |
| 1144369463 | Donna Gillespie | Physical Therapist | 15 Penny Ln, 4, Watsonville, CA 95076-6010 | 2007-02-05 |
| 1447338561 | Erin Timothy Adams | Physical Therapist | 15 Penny Ln, Watsonville, CA 95076-6010 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719265 | Physiotherapy Associates, Inc. | Clinic/Center | 11253 Brockway Rd Ste 102, Truckee, CA 96161-3358 | 2020-10-27 |
| 1518571066 | Palm Springs Recovery Treatment Center | Clinic/Center | 45650 Williams Rd, Indian Wells, CA 92210-8474 | 2020-09-02 |
| 1417561242 | Hak Medical Consulting | Clinic/Center | 15424 Marilla St, North Hills, CA 91343-2125 | 2020-08-31 |
| 1780293530 | Physiotherapy Associates, Inc. | Clinic/Center | 2060 Otay Lakes Rd Ste 110, Chula Vista, CA 91913-1364 | 2020-07-28 |
| 1083239875 | Physiotherapy Associates, Inc. | Clinic/Center | 6400 Village Pkwy Ste 104, Dublin, CA 94568-3007 | 2020-06-08 |
| 1497385017 | Matrix Rehabilitation, Inc. | Clinic/Center | 420 E 3rd St Ste 701, Los Angeles, CA 90013-1646 | 2020-01-23 |
| 1326689050 | Physiotherapy Associates, Inc. | Clinic/Center | 1470 Civic Ct Ste 320, Concord, CA 94520-5230 | 2019-10-03 |
| 1023661246 | Physiotherapy Associates, Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 906, Los Angeles, CA 90048-5810 | 2019-07-17 |
| 1821556689 | Top Tier Rehab & Performance | Clinic/Center | 45 Tulare Dr, Aliso Viejo, CA 92656-8084 | 2019-03-11 |
| 1194281550 | Matrix Rehabilitation, Inc. | Clinic/Center | 15585 Monterey Rd Ste D, Morgan Hill, CA 95037 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
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| 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.