Active NPI
Matthew Medina, PT, DPT
- Physical Therapist
- Oxnard, CA
National Provider Identifier
1437868668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303208
- Practice address
- 2100 Solar Dr Ste 204
Oxnard, CA 93036-2602 - Phone
- (805) 222-6563
- NPI assigned
- Nov 16, 2022
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 303208 | CA | Primary |
Addresses
Primary practice location
2100 Solar Dr Ste 204
Oxnard, CA 93036-2602
Mailing address
1577 Carnation Ave
Ventura, CA 93004-4802
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 |
|---|---|---|---|
| 303208 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
Locations
177 N Reino Rd
Newbury Park, CA 91320
Phone (805) 586-0290
2100 Solar Dr
Ste 204
Oxnard, CA 93036
Phone (805) 222-6563
957 Faulkner Rd
Ste 105
Santa Paula, CA 93060
Phone (805) 749-2273
3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565
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.
-
- Physical Therapist
- Ventura, CA
- NPI 1205453305
-
- Physical Therapist
- Ventura, CA
- NPI 1770830325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1437868668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 CARNATION AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930044802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SOLAR DR STE 204",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362602",
"telephone_number": "805-222-6563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.