Active NPI
Matrix Rehabilitation, Inc.
- Rehabilitation Clinic/Center
- Pasadena, CA
National Provider Identifier
1164464483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- MATRIX REHABILITATION, INC.
- Practice address
- 257 S Fair Oaks Ave Ste 120
Pasadena, CA 91105-4123 - Phone
- (626) 585-1345
- Fax
- (626) 585-1625
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E. Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
257 S Fair Oaks Ave Ste 120
Pasadena, CA 91105-4123
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other names 1
- Select Physical Therapy
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Fountain Valley, CA
- NPI 1174568539
Member Of
Locations
257 S Fair Oaks Ave
Ste 210
Pasadena, CA 91105
Phone (626) 441-0751
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Pasadena, CA
- NPI 1811378490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1164464483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 S FAIR OAKS AVE STE 120",
"city": "PASADENA",
"state": "CA",
"postal_code": "911054123",
"telephone_number": "626-585-1345",
"fax_number": "626-585-1625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIX REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Select Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.