MATRIX PHYSICAL THERAPY AND WELLNESS (NPI# 1790238418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790238418 |
| Entity Type | Organization |
| Organization Name | MATRIX PHYSICAL THERAPY AND WELLNESS |
| Practice Address |
2730 Wilshire Blvd Suite 105 Santa Monica CA 90403-4743 |
| Practice Telephone | 9493076857 |
| Mailing Telephone | 9493076857 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | DAVID OJEDA (OWNER/PHYSICAL THERAPY DIRECTOR) |
| Authorized Official Telephone | 9493076857 |
| Authorized Official Credential | DPT, OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
33794 | CA | Ambulatory Health Care Facilities |
| Street Address |
2730 WILSHIRE BLVD SUITE 105 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814706 | Michael David Greenwald | Psychologist | 2730 Wilshire Blvd, Suite 650, Santa Monica, CA 90403-4743 | 2005-10-09 |
| 1558914994 | Allison Nurse-hofer | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-07-23 |
| 1770056434 | Elizabeth A Lauber | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-01-05 |
| 1770066193 | Stephanie Sarah Fogelson | Physical Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2018-09-11 |
| 1992230718 | Skin By Lovely | Clinic/Center | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-04-30 |
| 1215478441 | Mind Health Institute Santa Monica | Psychiatry & Neurology | 2730 Wilshire Blvd, #507, Santa Monica, CA 90403-4743 | 2017-03-20 |
| 1679019715 | Kristy Charlier | Registered Nurse | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-01-12 |
| 1982155198 | Jake Edward Goldman | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 630, Santa Monica, CA 90403-4743 | 2016-10-23 |
| 1881141026 | Molly Schaffer, Marriage & Family Therapist, PC | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 250, Santa Monica, CA 90403-4743 | 2016-09-06 |
| 1285084111 | Soroya Bacchus Md | Psychiatry & Neurology | 2730 Wilshire Blvd, Suite 660, Santa Monica, CA 90403-4743 | 2016-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023431046 | Positive Physical Therapy and Fitness Inc | Clinic/Center | 1919 Broadway, Santa Monica, CA 90404-2811 | 2014-01-27 |
| 1487786133 | Natalie Blanco Mirsky | Clinic/Center | 1831 Wilshire Blvd Ste E, Santa Monica, CA 90403-5779 | 2007-03-09 |
| 1528109360 | Vert Westside Lp | Clinic/Center | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 | 2007-02-12 |
| 1598386393 | Jhankhana Jani | Clinic/Center | 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 | 2020-05-03 |
| 1922594175 | Back In Motion Physical Therapy Inc. | Clinic/Center | 1831 Wilshire Blvd Ste E, Santa Monica, CA 90403-5779 | 2018-07-10 |
| 1457720179 | Pelvica Physical Therapy, Inc. | Clinic/Center | 528 Arizona Ave, Ste 319, Santa Monica, CA 90401-1411 | 2015-09-23 |
| 1588096341 | Dr. Carr Integrative Physical Therapy, Inc. | Clinic/Center | 520 Arizona Avenue, Santa Monica, CA 90401 | 2013-08-05 |
| 1649593690 | Walter K Theis Md A Medical Corporation | Clinic/Center | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 | 2010-03-04 |
| 1255660221 | Vert Center of Santa Monica | Clinic/Center | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 | 2009-12-21 |
| 1134351232 | Yvette Flores Physical Therapy, P.C. | Clinic/Center | 2222 Pico Blvd #102, Santa Monica, CA 90405 | 2009-08-22 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on MATRIX PHYSICAL THERAPY AND WELLNESS.
| 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.