MATTIE JANE OVERTON (NPI# 1952884496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952884496 |
| Entity Type | Individual |
| Full Name | MATTIE JANE OVERTON |
| Credential | DPT |
| Practice Address |
24422 Avenida De La Carlota Ste 190 Laguna Hills CA 92653-3634 |
| Practice Telephone | 9493406927 |
| Mailing Telephone | 9493406927 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | PT295297 | CA | Allopathic & Osteopathic Physicians |
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
PT295297 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
24422 AVENIDA DE LA CARLOTA STE 190 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447679915 | Cecile Ines Roberts-dalli | Physical Therapist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653 | 2014-04-14 |
| 1457960098 | Derrick Garner Smith | Speech-Language Pathologist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2020-07-29 |
| 1174141642 | Tia Hein | Speech-Language Pathologist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2020-07-10 |
| 1598386781 | Victoria Clardy | Physical Therapist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2020-04-29 |
| 1003450651 | Kaylie Fisher | Physical Therapist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2019-11-06 |
| 1780228338 | Laura Gonzalez | Physical Therapist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2019-11-06 |
| 1801430459 | Brianna Darneal | Physical Therapist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2019-11-06 |
| 1821647132 | Gail S Skoropad | Physical Therapist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2019-09-09 |
| 1275187643 | Brianna Bacich | Physical Therapist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2019-07-24 |
| 1902463417 | Amanda E Antos | Speech-Language Pathologist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914939 | Claudia Sterling | Physical Medicine & Rehabilitation | 7 Hacienda Rd, Bell Canyon, CA 91307-1014 | 2019-04-19 |
| 1114492923 | Karuna Labs Inc | Physical Medicine & Rehabilitation | 424 Treat Ave Ste B, San Francisco, CA 94110-2095 | 2018-10-08 |
| 1447890165 | The Osteopathic Way, P.c | Physical Medicine & Rehabilitation | 199 17th St Ste J, Pacific Grove, CA 93950-7200 | 2020-01-10 |
| 1073092227 | Neuron Monitoring PC | Physical Medicine & Rehabilitation | 1120 W La Veta Ave Ste 300, Orange, CA 92868-4246 | 2018-08-08 |
| 1295237352 | Bernadette Macdonald | Physical Medicine & Rehabilitation | 10580 S De Anza Blvd, Cupertino, CA 95014-4450 | 2018-03-05 |
| 1184147704 | Paulo C Aldana | Physical Medicine & Rehabilitation | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-07-25 |
| 1962930628 | Advanced Joint and Spine Medical Center Inc. | Physical Medicine & Rehabilitation | 2029 W Orangewood Ave Ste A, Orange, CA 92868-1951 | 2017-05-25 |
| 1699042507 | Manijeh Ryan Md Inc A Professional Corporation | Physical Medicine & Rehabilitation | 4180 Treat Blvd Ste 100, Concord, CA 94518-4509 | 2011-11-20 |
| 1477832277 | Tanja L. Kujac, Md Inc | Physical Medicine & Rehabilitation | 710 South Broadway, Ste 110, Walnut Creek, CA 94596 | 2011-08-10 |
| 1013202365 | Trixy Syu | Physical Medicine & Rehabilitation | 12815 Heacock St, Moreno Valley, CA 92553-3116 | 2011-06-15 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.