Mathew Parker

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43357 Issued in CA

Practice address

560 N Coast Highway 101 Ste 4a
Encinitas, CA 92024-2039

Phone

(858) 900-3361

NPI assigned

Nov 24, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1386018604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 MILDRED AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N COAST HIGHWAY 101 STE 4A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242039",
            "telephone_number": "858-900-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18377 Beach Blvd",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926481381",
            "country_code": "US",
            "telephone_number": "714-848-8318",
            "fax_number": "714-848-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MATHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton H Park, DDS
• Ryan Scott Park, OT-C
• Celeste Parke, L.AC.
• Parker Physiotherapy, Inc. (Parker Physio)
• Christopher Steven Parker, M.D.
• Rhiannon Lorraine Parker, BA
• Mary Josephine Parliament
• Humara Rashid Parray, DDS
• Leah B Parsanko, D.C.
• Grace Odegard Pascale

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.