NPIMap

Organization Active NPI

CPRX, Incorporated

  • Orthopedic Physical Therapist
  • Aliso Viejo, CA
National Provider Identifier
1174964670
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT22434 Issued in CA
Legal business name
CPRX, INCORPORATED
Practice address
2 Journey
Suite 201
Aliso Viejo, CA 92656
Phone
(562) 799-4494
NPI assigned
Jul 12, 2013
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CPRX, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Jeremy W Matteson, PT, CSCSNPI 1902993462
Title
Owner
Phone
(562) 799-4494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT22434 CA Primary

Addresses

Primary practice location

2 Journey
Suite 201
Aliso Viejo, CA 92656

Mailing address

3662 Katella Ave
Suite 105
Los Alamitos, CA 90720-3124
Phone (562) 799-4494

National Provider Directory

National Provider Directory
Tax ID family
CPRX Incorporated3 organizations share this tax ID, including this one
Part of
CPRX Incorporated

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1174964670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE",
            "address_2": "SUITE 105",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203124",
            "telephone_number": "562-799-4494",
            "fax_number": "562-280-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNEY",
            "address_2": "SUITE 201",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "562-799-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPRX, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CPRX, INCORPORATED",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "MATTESON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-799-4494",
        "authorized_official_credential": "PT, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT22434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.