Matt Swift, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT#33345 Issued in CA

Practice address

1500 S Anaheim Blvd
Ste 130
Anaheim, CA 92805-6242

Phone

(714) 917-3558

Fax

(714) 917-3560

NPI assigned

Jan 10, 2007

Last updated

Feb 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Change Sports Physical Therapy InstituteGroup PAC ID 5395870786, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Change Sports Physical Therapy Institute

  • Orthopedic Physical Therapist
  • Huntington Beach, CA
  • NPI 1164752473
  Medicare reassignment Care Compare group NPD Authorized official
• Kevin Wentz Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Yorba Linda, CA
  • NPI 1194815647

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1134278757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7076 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473503",
            "telephone_number": "714-263-6388",
            "fax_number": "714-362-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S ANAHEIM BLVD",
            "address_2": "STE 130",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056242",
            "telephone_number": "714-917-3558",
            "fax_number": "714-917-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "MATT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT#33345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT#33345",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard W Swartzentruber, MD
• Alison Sweeney
• Gavin Alan Sweeney, MSW
• Connie S Swentek, CNM
• Heather Swift, OTR/L
• Henry Allen Swigert, MD
• Roderick Kirk Switzer
• Helen Ang Sy, MD
• Syam P Vunnamadala Medical Corp
• Syam Vunnamadala, M.D., Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.