Active NPI
Matthew Nieh
- Orthopedic Physical Therapist
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 306482
- Practice address
- 501 S Vincent Ave Ste 200
West Covina, CA 91790-6712 - Phone
- (626) 856-5588
- NPI assigned
- Aug 6, 2024
- Last updated
- Aug 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 306482 | CA | Primary |
Addresses
Primary practice location
501 S Vincent Ave Ste 200
West Covina, CA 91790-6712
Mailing address
1626 Green Ridge Ter
West Covina, CA 91791-4318
Phone (626) 383-4939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
824 W Cameron Ave
West Covina, CA 91790-4136
Phone (732) 994-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306482 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Wellness Physical Therapy | Single Specialty | Current | Accepting new patients |
| Sand Coast Rehab Physical Therapy Inc | Single Specialty | Current | Accepting new patients |
Locations
441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
501 S Vincent Ave
Ste 200
West Covina, CA 91790
Phone (626) 727-6688
400 Route 70
Lakewood, NJ 08701
Phone (440) 263-9228
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1639766603
CA, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1417787276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 GREEN RIDGE TER",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917914318",
"telephone_number": "626-383-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S VINCENT AVE STE 200",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917906712",
"telephone_number": "626-856-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEH",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "306482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.