Individual provider Active NPI

Matthew G Hertzler, PT

  • Physical Therapist
  • Placentia, CA
National Provider Identifier
1366530073
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25341 Issued in CA
Practice address
1075 Yorba PL
Suite 107
Placentia, CA 92870-3152
Phone
(714) 524-3500
Fax
(714) 524-0366
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25341 CA Primary

Addresses

Primary practice location

1075 Yorba PL
Suite 107
Placentia, CA 92870-3152

Mailing address

1075 Yorba PL
Suite 107
Placentia, CA 92870-3152
Phone (714) 524-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130222000354 CA Practitioner - Physical Therapist in Private Practice 3375798358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Physical Therapy and Sports Rehabilitation IncGroup PAC ID 2264715499, 2 clinicians

Practice addresses (Care Compare)

1075 Yorba PL
Suite 107
Placentia, CA 92870-3109
Phone (714) 524-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1366530073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 YORBA PL",
            "address_2": "SUITE 107",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703152",
            "telephone_number": "714-524-3500",
            "fax_number": "714-524-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 YORBA PL",
            "address_2": "SUITE 107",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703152",
            "telephone_number": "714-524-3500",
            "fax_number": "714-524-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZLER",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.