Organization Active NPI

Change Sports Physical Therapy Institute

  • Orthopedic Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1164752473
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
33345 Issued in CA
Legal business name
CHANGE SPORTS PHYSICAL THERAPY INSTITUTE
Practice address
7172 Edinger Ave
Huntington Beach, CA 92647-3505
Phone
(714) 902-9349
Fax
(714) 362-3147
NPI assigned
Jan 8, 2010
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Matt Swift, P.T.NPI 1134278757
Title
President
Phone
(714) 902-9349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 33345 CA Primary

Addresses

Primary practice location

7172 Edinger Ave
Huntington Beach, CA 92647-3505

Mailing address

7172 Edinger Ave
Huntington Beach, CA 92647-3505
Phone (714) 902-9349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000709 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395870786 Receives reassigned benefits from 5 practitioners
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

6802 Edinger Ave Ste 100
Huntington Beach, CA 92647

7076 Edinger Ave
Huntington Beach, CA 92647
Phone (714) 263-6388

7172 Edinger Ave
Huntington Beach, CA 92647
Phone (714) 902-9349

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1164752473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7172 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473505",
            "telephone_number": "714-902-9349",
            "fax_number": "714-362-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7172 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473505",
            "telephone_number": "714-902-9349",
            "fax_number": "714-362-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE SPORTS PHYSICAL THERAPY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-902-9349",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "33345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.