Active NPI
Ndidiamaka Dillibe Matthews, D.P.T, N.C.S.
- Neurology Physical Therapist
- Pasadena, CA
National Provider Identifier
1295853489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT27434
- Practice address
- 582 Eldora Rd
Pasadena, CA 91104-3613 - Phone
- (213) 924-4377
- Fax
- (323) 224-7075
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT27434 | CA | Primary |
Addresses
Primary practice location
582 Eldora Rd
Pasadena, CA 91104-3613
Mailing address
582 Eldora Rd
Pasadena, CA 91104-3613
Phone (213) 924-4377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27434 | CA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1295853489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 ELDORA RD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911043613",
"telephone_number": "213-924-4377",
"fax_number": "323-224-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "582 ELDORA RD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911043613",
"telephone_number": "213-924-4377",
"fax_number": "323-224-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "NDIDIAMAKA",
"middle_name": "DILLIBE",
"credential": "D.P.T, N.C.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "PT27434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.