Active NPI
Matrix Rehabilitation, Inc.
- Physical Therapy Clinic/Center
- Stockton, CA
National Provider Identifier
1326080862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MATRIX REHABILITATION, INC.
- Doing business as
- Advanced Physical Therapy-California Street
- Practice address
- 1947 N California St
Suite B
Stockton, CA 95204-6029 - Phone
- (209) 464-5771
- Fax
- (209) 464-8441
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis J. Fitzpatrick
- Title
- Chief Financial Officer
- Phone
- (610) 644-7827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1947 N California St
Suite B
Stockton, CA 95204-6029
Mailing address
2300 Coit Road
Suite 300
Plano, TX 75075
Phone (469) 467-8705
Other names 1
- Advanced Physical Therapy-California Street
National Provider Directory
National Provider DirectoryLocations
1947 N California St
Ste B
Stockton, CA 95204
Phone (209) 463-0870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1326080862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 COIT ROAD",
"address_2": "SUITE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "75075",
"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": "1947 N CALIFORNIA ST",
"address_2": "SUITE B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046029",
"telephone_number": "209-464-5771",
"fax_number": "209-464-8441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIX REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "FITZPATRICK",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "610-644-7827"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Physical Therapy-California Street",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.