NPIMap

Organization Active NPI

Matrix Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Scotts Valley, CA
National Provider Identifier
1083657357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MATRIX REHABILITATION, INC.
Doing business as
MATRIX Rehabilitation of Scotts Valley
Practice address
223 Mount Hermon Rd
Suite 10
Scotts Valley, CA 95066-4086
Phone
(831) 438-7012
Fax
(831) 438-0618
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis J. Fitzpatrick
Title
Chief Financial Officer
Phone
(610) 644-7824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

223 Mount Hermon Rd
Suite 10
Scotts Valley, CA 95066-4086

Mailing address

2300 Coit Rd
Suite 300
Plano, TX 75075-3768
Phone (469) 467-8705

Other names 1

  • MATRIX Rehabilitation of Scotts Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Matrix Rehabilitation I5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

223 Mount Hermon Rd
Ste 10
Scotts Valley, CA 95066
Phone (831) 438-7012

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083657357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753768",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MOUNT HERMON RD",
            "address_2": "SUITE 10",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664086",
            "telephone_number": "831-438-7012",
            "fax_number": "831-438-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-644-7824"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATRIX Rehabilitation of Scotts Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.