Active NPI
Michelle Matthews-Ford, PT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1144840588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17132
- Practice address
- 2130 Sawtelle Blvd Ste 300
Los Angeles, CA 90025-6266 - Phone
- (424) 248-3670
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17132 | CA | Primary |
Addresses
Primary practice location
2130 Sawtelle Blvd Ste 300
Los Angeles, CA 90025-6266
Mailing address
19125 Pricetown Ave
Carson, CA 90746-2673
Phone (310) 753-7661
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17132 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1144840588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19125 PRICETOWN AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907462673",
"telephone_number": "310-753-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 SAWTELLE BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256266",
"telephone_number": "424-248-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS-FORD",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.