Matthew Audia, PT, DPT, CMP

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

34627 Issued in CA

Practice address

5963 La Place CT Ste 109
Carlsbad, CA 92008

Phone

(617) 669-1071

NPI assigned

Mar 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1215107115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 LA PLACE CT STE 109",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088822",
            "telephone_number": "617-669-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 LA PLACE CT STE 109",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "617-669-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Manchester Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "03103",
            "country_code": "US",
            "telephone_number": "603-747-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUDIA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17240",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "34627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Atiyeh, LPCC
• Roy David Atkin, D.D.S., M.S.
• Matthew Atkinson
• Colin Alan Atlas
• Shereen Binno Attisha, MD
• Aureus Acquisition I, LLC (Brighton Gardens of Carlsbad)
• Aurora Romans, LMFT-S
• Erika M Austin, PHD
• Romelle Austin
• Avalon Home Care

• Neurology Physical Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Neurology Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.