Active NPI
Matthew Miller Clampitt, PTA
- Physical Therapy Assistant
- Los Angeles, CA
National Provider Identifier
1356006142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 51418
- Practice address
- 12424 Wilshire Blvd Ste 101
Los Angeles, CA 90025-1064 - Phone
- (310) 826-2977
- NPI assigned
- Nov 5, 2021
- 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 Therapy Assistant | 225200000X | 51418 | CA | Primary |
Addresses
Primary practice location
12424 Wilshire Blvd Ste 101
Los Angeles, CA 90025-1064
Mailing address
2820 Faust Ave
Long Beach, CA 90815-1341
Phone (562) 552-5026
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51418 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1356006142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 FAUST AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151341",
"telephone_number": "562-552-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12424 WILSHIRE BLVD STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251064",
"telephone_number": "310-826-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAMPITT",
"first_name": "MATTHEW",
"middle_name": "MILLER",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Claire Bravo, M.D., Inc.
- Jessica Claire, IBCLC
- Charmaine V. Clamor, M.P.T.
- Clampett Physical Therapy (Ny), PLLC
- Sarah Catherine Clampett, PT, DPT
- Clan Hahn Hematology and Oncology Medical Center
- Clan Hahn MD Clinic, a Medical Corp
- Ellie Rose Clancy
- Veronica Denise Clanton-Higgins
- Marilyn Denise Clanton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.