Matthew C Stauffer, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33033 Issued in CA

Practice address

3905 Beacon Ave
Fremont, CA 94538-1405

Phone

(510) 792-3555

Fax

(510) 797-5101

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Outpatient Rehabilitation Center a Joint VentureGroup PAC ID 1153325576, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Washington Outpatient Rehabilitation Center, a Joint Venture

  dba Washington Outpatient Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Fremont, CA
  • NPI 1861443434

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1255429452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 COUNTRY DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365315",
            "telephone_number": "510-608-3614",
            "fax_number": "510-608-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BEACON AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381405",
            "telephone_number": "510-792-3555",
            "fax_number": "510-797-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID NUMBER",
            "identifier": "0PT330330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Janet Stanton, R.N.
• Starcare Home Health LLC
• Lauren E Stark, PA-C
• Starry Night Inc
• Jodie Statham
• Jennifer Jane Staveley, PSYD
• Charleen Stearns, M.A
• Melinda Jenny Steele, MD
• Seymour Steinmetz, MD
• Stella Levin, O.D. a Professional Corporation

• Physical Therapist in Fremont, CA
• Providers in Fremont, 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 31, 2013; 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.