MATRIX REHABILITATION, INC. (NPI# 1902840721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902840721 |
| Entity Type | Organization |
| Organization Name | MATRIX REHABILITATION, INC. |
| Other Organization Name | C-17 PHYSICAL THERAPY |
| Practice Address |
2401 E Wardlow Rd M/c Co54-0405 Long Beach CA 90807-5309 |
| Mailing Address |
2300 Coit Rd Suite 300 Plano TX 75075-3768 |
| Practice Telephone | 5625935817 |
| Practice Fax Number | 5629826735 |
| Mailing Telephone | 4694678705 |
| Mailing Fax Number | 2673212550 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENNIS J. FITZPATRICK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6106447824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| C-17 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 |
2401 E WARDLOW RD M/C CO54-0405 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053579946 | Erik Won | Preventive Medicine | 2401 E Wardlow Rd, M/c C174-0011, Long Beach, CA 90807-5309 | 2008-05-28 |
| 1205942331 | Jennifer Enriquez-johnson | Physical Therapist | 2401 E Wardlow Rd, Long Beach, CA 90807-5309 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841507993 | Lisa Nathanson, P.t. P.C. | Clinic/Center | 659 Shore Rd, 7b, Long Beach, NY 11561-4681 | 2010-09-10 |
| 1235313230 | C.a.r.e. Evaluators, LLC | Clinic/Center | 111 W Victoria St, Long Beach, CA 90805-2162 | 2007-12-27 |
| 1871716506 | Family Physical Therapy of South Ms | Clinic/Center | 19020 Pineville Rd, Suite 4, Long Beach, MS 39560-4564 | 2007-04-11 |
| 1205931482 | Advanced Orthopedic Physical Therapy | Clinic/Center | 4510 Pacific Coast Highway, Suite 305, Long Beach, CA 90804 | 2006-09-13 |
| 1043833346 | Recharge Physical Therapy, Inc | Clinic/Center | 1777 N Bellflower Blvd Ste 205, Long Beach, CA 90815-4020 | 2020-05-20 |
| 1215396627 | Physical Therapy Fitness Team, Inc | Clinic/Center | 3535 E 7th St, Long Beach, CA 90804-5138 | 2016-02-12 |
| 1134521461 | Peak Physical Therapy and Wellness PC | Clinic/Center | 2713 Hackett Ave, Long Beach, CA 90815-1547 | 2014-09-18 |
| 1700195286 | Encore Rehabilitation, Inc. | Clinic/Center | 5132 Beatline Rd, Suite D, Long Beach, MS 39560-3869 | 2010-09-30 |
| 1740427673 | Parisa Refaat Physical Therapy Inc. | Clinic/Center | 4028 E Broadway, Long Beach, CA 90803-1502 | 2009-01-14 |
| 1225204605 | Atlarhea Physical Therapy Service | Clinic/Center | 1954 Atlantic Ave, Long Beach, CA 90806-5510 | 2008-05-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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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.