Active NPI
Matt A Sheehan, PT
- Physical Therapist
- Stockton, CA
National Provider Identifier
1326091596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27125
- Practice address
- 10100 Trinity Pkwy # 435
Stockton, CA 95219-7238 - Phone
- (209) 474-7881
- NPI assigned
- May 18, 2006
- Last updated
- Sep 17, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27125 | CA | Primary |
Addresses
Primary practice location
10100 Trinity Pkwy # 435
Stockton, CA 95219-7238
Mailing address
1952 Della Verona Dr
Roseville, CA 95747-3504
Phone (916) 915-7125
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 |
|---|---|---|---|
| 27125 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natomas Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Sierra Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Sierra Management Services Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1948 Del Paso Rd
Ste 135
Sacramento, CA 95834
Phone (916) 419-5202
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.
-
- Physical Therapist
- Sacramento, CA
- NPI 1104835370
-
- Physical Therapy Clinic/Center
- Yuba City, CA
- NPI 1912069568
Physical Therapist
-
- Physical Therapist
- Yuba City, CA
- NPI 1811651714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1326091596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 DELLA VERONA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957473504",
"telephone_number": "916-915-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 TRINITY PKWY # 435",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197238",
"telephone_number": "209-474-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "MATT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "27125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.