Matthew Davis, PT, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT295942 Issued in CA

Practice address

8030 Soquel Ave Ste 200
Santa Cruz, CA 95062-2096

Phone

(831) 464-8200

NPI assigned

Nov 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Santa Cruz Mobile Physical Therapy and Wellness IncGroup PAC ID 5294177150, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

25.46 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

84.88

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Santa Cruz Mobile Physical Therapy & Wellness Inc

  • Physical Therapist
  • Felton, CA
  • NPI 1336991546
  Medicare reassignment Care Compare group NPD Authorized official
• Precision Physical Therapy & Fitness

  • Physical Therapist
  • Santa Cruz, CA
  • NPI 1639534225

  Physical Therapy

  Medicare reassignment NPD

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1316417603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 LEY ROAD",
            "city": "FELTON",
            "state": "CA",
            "postal_code": "95018",
            "telephone_number": "831-331-0812",
            "fax_number": "831-400-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 SOQUEL AVE STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622096",
            "telephone_number": "831-464-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT295942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Benjamin Davis III, RN, MSN, MHS, FNP
• Gail M. Davis, LMFT
• Joshua Davis, MD
• Laura Davis
• Mary Susan Davis, LAC
• Meishka Alecia Davis
• Meredith Davis
• Karen H. Dawson, M.H.R.S.
• Maya Dawson, ART PT
• Ananda Cybelle Day Cavalli

• Physical Therapy Clinic/Center in Santa Cruz, CA
• Providers in Santa Cruz, 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 Jun 24, 2024; 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.