Kathleen Louise Matarese, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300476 Issued in CA

Practice address

3810 La Crescenta Ave
La Crescenta, CA 91214-3914

Phone

(818) 369-7700

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bartley Physical Therapy PCGroup PAC ID 9133306723, 12 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 and National Provider Directory roles.

• Bartley Physical Therapy PC

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1336430560
  Medicare reassignment Care Compare group NPD
• Tyler Physical Therapy Inc

  • Physical Therapist
  • La Crescenta, CA
  • NPI 1255770095
  Medicare reassignment NPD

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1154094365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2222",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816582222",
            "telephone_number": "970-390-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 LA CRESCENTA AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143914",
            "telephone_number": "818-369-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARESE",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Justin Markar-Araghi
• Marquis Home Care Inc
• Dianne Haines Martin
• Audrie Lorraine Martinez Duenas
• Caeli Devin Matanky, DNP, APRN, FNP-BC
• Maverick Hospice Care Inc
• Aracel N/a May, LCSW
• Charles McClain, NP
• Montana McGlynn, L AC
• Medlinq Imaging Inc

• Physical Therapist in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.