Individual provider Active NPI

Matthew Guttridge

  • Physical Therapist
  • Woodland Hills, CA
National Provider Identifier
1376226126
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304563 Issued in CA
Practice address
6325 Topanga Canyon Blvd Ste 100
Woodland Hills, CA 91367-2005
Phone
(818) 340-8858
NPI assigned
Aug 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 304563 CA Primary

Addresses

Primary practice location

6325 Topanga Canyon Blvd Ste 100
Woodland Hills, CA 91367-2005

Mailing address

1785 Campus Rd
Los Angeles, CA 90041-3034
Phone (818) 518-7538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921004379 CA Practitioner - Physical Therapist in Private Practice 4880048032 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304563CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Repair NB Physical Therapy, Corp Physical Therapist CurrentSince Apr 18, 2024 Accepting new patients
Gillette & Assocaites Physical Therapy a Professional Corporation Physical Therapist CurrentSince Aug 8, 2023 Accepting new patients
Seal Beach Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

7146 Edinger Ave
Huntington Beach, CA 92647
Phone (714) 377-4314

6325 Topanga Canyon Blvd
Ste 100
Woodland Hls, CA 91367
Phone (818) 340-8858

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1376226126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 CAMPUS RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413034",
            "telephone_number": "818-518-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672005",
            "telephone_number": "818-340-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTRIDGE",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.