Individual provider Active NPI

Matthew Sagisi, DPT

  • Physical Therapist
  • Santa Maria, CA
National Provider Identifier
1003793340
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308720 Issued in CA
Practice address
2530 Professional Pkwy
Santa Maria, CA 93455-8200
Phone
(805) 928-4465
Fax
(805) 928-7935
NPI assigned
Aug 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308720 CA Primary

Addresses

Primary practice location

2530 Professional Pkwy
Santa Maria, CA 93455-8200

Mailing address

PO Box 6450
Santa Maria, CA 93456-6450
Phone (805) 928-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007002190 CA Practitioner - Physical Therapist in Private Practice 8527565514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sims Physical Therapy, Inc.Group PAC ID 1153376504, 5 clinicians

Practice addresses (Care Compare)

2530 Professional Pkwy
Santa Maria, CA 93455-8200
Phone (805) 928-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sims Physical Therapy Inc Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Coastal Communities Physician Network, Inc. PastSince Aug 18, 2025 Accepting new patients

Locations

2530 Professional Pkwy
Santa Maria, CA 93455
Phone (805) 928-4465

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1003793340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6450",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934566450",
            "telephone_number": "805-928-4465",
            "fax_number": "805-928-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 PROFESSIONAL PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934558200",
            "telephone_number": "805-928-4465",
            "fax_number": "805-928-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGISI",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.