Matthew Schatz
Individual provider Active NPI Physical Therapist · Irvine, CA
NPI 1306030945 · NPPES record last updated Aug 28, 2007
Key facts
- NPI
- 1306030945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT25356 (CA)
- Practice address
- 23 Willowhurst
Irvine, CA 92602-1628 - Phone
- (949) 378-7347
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mobility Physical Therapy Inc
Practice addresses (Care Compare)
3002 Dow Ave
Suite 318
Tustin, CA 92780-7234
Phone (714) 389-9306
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000299 | CA | Practitioner - Physical Therapist in Private Practice | 9931122132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25356 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Active Rehabilitation and Conditioning Physical Therapy | Physical Therapist | Past |
Accepting new patients |
Locations
24432 Muirlands Blvd
Ste 201
Lake Forest, CA 92630
Phone (949) 540-0301
3002 Dow Ave
Ste 318
Tustin, CA 92780
Phone (714) 389-9306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25356 | CA | Yes |
Addresses
Primary practice location
23 Willowhurst
Irvine, CA 92602-1628
Mailing address
24432 Muirlands Blvd
Suite 201
Lake Forest, CA 92630-3939
Phone (949) 540-0301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W15987 | Other | MEDCARE GROUP ID |
Other providers in Irvine, CA
- Shannon Scalera
- Joshua Scanlon-John
- Paige Marie Scanlon
- Noemi Scatena
- Catherene Schatz
- Karen Marie Schellenberg
- Kelly Scheneman
- Morgan Schepker
- Rhett Mead Schiffman
- Greg Alan Schinnerer
All providers in Irvine, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.