Active NPI
Matthew Stump
- Physical Therapist
- Camarillo, CA
National Provider Identifier
1407065527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 27127
- Practice address
- 231 Camarillo Ranch Rd
Camarillo, CA 93012-5082 - Phone
- (805) 484-2026
- Fax
- (805) 389-1196
- NPI assigned
- May 22, 2007
- Last updated
- Aug 27, 2019
- 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 Therapist | 225100000X | PT 27127 | CA | Primary |
Addresses
Primary practice location
231 Camarillo Ranch Rd
Camarillo, CA 93012-5082
Mailing address
1795 Ridgewood Dr
Camarillo, CA 93012-4216
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 27127 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1407065527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 RIDGEWOOD DR",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930124216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 CAMARILLO RANCH RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125082",
"telephone_number": "805-484-2026",
"fax_number": "805-389-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 27127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.