Individual provider Active NPI

Matthieu Gwenael Flageul, PT, DPT, CSCS, BRM

  • Physical Therapist
  • El Cajon, CA
National Provider Identifier
1023967650
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309552 Issued in CA
Practice address
522 Jamacha Rd
El Cajon, CA 92019-2448
Phone
(619) 579-1625
NPI assigned
Jan 26, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 309552 CA Primary

Addresses

Primary practice location

522 Jamacha Rd
El Cajon, CA 92019-2448

Mailing address

8583 Aero Dr Apt 1081
San Diego, CA 92123-1727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
309552CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Physical Therapy Physical Therapist PastSince Nov 1, 2004 Accepting new patients

Organizations & group practices 1

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": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1023967650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8583 AERO DR APT 1081",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 JAMACHA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192448",
            "telephone_number": "619-579-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGEUL",
        "first_name": "MATTHIEU",
        "middle_name": "GWENAEL",
        "credential": "PT, DPT, CSCS, BRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.