Matrix Rehabilitation, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MATRIX REHABILITATION, INC.

Practice address

824 Bay Ave
Suite 60
Capitola, CA 95010-2104

Phone

(831) 475-0192

Fax

(831) 475-1303

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Jayne Fleck-Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Other names 1

• MATRIX Rehabilitation of Capitola Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Williams, P.T.

  • Physical Therapist
  • Capitola, CA
  • NPI 1831119650
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1295778561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753768",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BAY AVE",
            "address_2": "SUITE 60",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102104",
            "telephone_number": "831-475-0192",
            "fax_number": "831-475-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "FLECK-POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATRIX Rehabilitation of Capitola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucretia Winslow Mann, PH.D.
• Daisy Manuel-Arguelles, DO
• Harvey J Markovitz, D.C.
• Mayra Martinez-Serrano
• Jarrett Walter Mason
• Kelly Matthews, L.AC.
• Jacinda Ann Maurer, RN
• Duncan M McCollum, D.C.
• Nancy Ann McDonald, C.P.N.P.
• Chelsea McMillen, OTRL

• Physical Therapy Clinic/Center in Capitola, CA
• Providers in Capitola, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.