Individual provider Active NPI

Matthew Oran Angell, PTA, CSCS

  • Physical Therapy Assistant
  • Sherman Oaks, CA
National Provider Identifier
1083588495
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
50381 Issued in CA
Practice address
15125 Ventura Blvd Ste 200
Sherman Oaks, CA 91403-3306
Phone
(562) 522-1987
NPI assigned
Sep 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 50381 CA Primary

Addresses

Primary practice location

15125 Ventura Blvd Ste 200
Sherman Oaks, CA 91403-3306

Mailing address

4735 Sepulveda Blvd
Sherman Oaks, CA 91403-5418

Other names 1

  • Simon Oran Angell Other name

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
50381CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1083588495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 SEPULVEDA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "562-522-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "MATTHEW",
        "middle_name": "ORAN",
        "credential": "PTA, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMON",
            "last_name": "ANGELL",
            "middle_name": "ORAN",
            "credential": "PTA, CSCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.