Organization Active NPI

CPRX, Incorporated

  • Orthopedic Physical Therapist
  • Los Alamitos, CA
National Provider Identifier
1285076265
Registry record updated Jul 19, 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
3771 Katella Ave
Suite 111
Los Alamitos, CA 90720-3108
Phone
(562) 799-4494
Fax
(562) 280-0304
NPI assigned
Jul 19, 2013
Organization subpart
Yes
Parent organization
CPRX, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT22434 CA Primary

Addresses

Primary practice location

3771 Katella Ave
Suite 111
Los Alamitos, CA 90720-3108

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.

Locations

3771 Katella Ave
Ste 111
Los Alamitos, CA 90720
Phone (562) 799-4494

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.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1285076265",
    "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": "3771 KATELLA AVE",
            "address_2": "SUITE 111",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203108",
            "telephone_number": "562-799-4494",
            "fax_number": "562-280-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPRX, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CPRX, INCORPORATED",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT22434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.