Matthew Slocum

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1912 S Pacific Coast Hwy
Redondo Beach, CA 90277-6118

Phone

(103) 540-5758

Fax

(310) 540-5404

NPI assigned

Mar 3, 2019

Sex

Male

Sole proprietor

No

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

Group practices

Positive Energy Physical Therapy IncGroup PAC ID 9739362781, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Positive Energy Physical Therapy Inc

  • Physical Therapist
  • Redondo Beach, CA
  • NPI 1992001341
  Medicare reassignment Care Compare group NPD
• Sportsfit Physical Therapy Corporation

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1558615492
  Medicare reassignment NPD

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1326506973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 STEPHEN WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776118",
            "telephone_number": "103-540-5758",
            "fax_number": "310-540-5404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Sepulveda Blvd # 105",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902666814",
            "country_code": "US",
            "telephone_number": "408-813-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-03",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sitaraman Jyotheeswaran MD Facp a Medical Corporation
• David I. Sitzer, PH.D.
• SJC Transit
• Natalie Justina Skokandic, OD
• Monica Anne Slivar, O.D.
• Angela Nicole Sloss
• Rhonda Shaw Smillie, LPCC
• Amber Smith, LMT
• Bradley Smith, M.D.
• Bruce Graham Smith

• Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.