Individual provider Active NPI

Matthew Schatz

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1306030945
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25356 Issued in CA
Practice address
23 Willowhurst
Irvine, CA 92602-1628
Phone
(949) 378-7347
NPI assigned
Aug 28, 2007
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25356 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000299 CA Practitioner - Physical Therapist in Private Practice 9931122132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Mobility Physical Therapy IncGroup PAC ID 6901842640, 3 clinicians

Practice addresses (Care Compare)

3002 Dow Ave
Suite 318
Tustin, CA 92780-7234
Phone (714) 389-9306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25356CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2002 Accepting new patients
Active Rehabilitation and Conditioning Physical Therapy Physical Therapist PastSince Jan 14, 2011 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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1306030945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24432 MUIRLANDS BLVD",
            "address_2": "SUITE 201",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303939",
            "telephone_number": "949-540-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WILLOWHURST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021628",
            "telephone_number": "949-378-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHATZ",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.