Matthew J. Reekstin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26462 Issued in CA

Practice address

1027 N Harbor Blvd
Suite B
Fullerton, CA 92832-1310

Phone

(714) 870-8478

Fax

(714) 870-8405

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reekstin Enterprises Inc.Group PAC ID 3678603586, 13 clinicians

Core Total Body Physical Therapy PCGroup PAC ID 3678842663, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Van Doc Home Care

  • Home Health Agency
  • Anaheim, CA
  • NPI 1780355438

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership

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.

• Core Total Body Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Fullerton, CA
  • NPI 1134657299

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Reekstin Enterprises Inc.

  • Physical Therapy Clinic/Center
  • Fullerton, CA
  • NPI 1346266954

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1013933613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CERRITOS DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354019",
            "telephone_number": "714-449-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 N HARBOR BLVD",
            "address_2": "SUITE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321310",
            "telephone_number": "714-870-8478",
            "fax_number": "714-870-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEKSTIN",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT26462A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Ellen Redman, RN, RNFA
• Renee Monique Cheree Reed
• Vetosa Reed
• Andrew Lynn Reeder
• Reekstin Enterprises Inc.
• Karla Regalado
• Regional Pain Treatment Center
• Regional Pain Treatment Medical Center Inc
• Chico D Rego
• Cristina Diaz Reich

• Physical Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.