Individual provider Active NPI

Matthew S Pilon, PT

  • Physical Therapist
  • Capitola, CA
National Provider Identifier
1497220172
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT295667 Issued in CA
Practice address
1350 41St Ave Ste 100
Capitola, CA 95010-3934
Phone
(831) 706-2085
Fax
(831) 417-3799
NPI assigned
Oct 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 PT295667 CA Primary

Addresses

Primary practice location

1350 41St Ave Ste 100
Capitola, CA 95010-3934

Mailing address

1106 Walnut St Ste 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120001741 CA Practitioner - Physical Therapist in Private Practice 8123372620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Asis Physical Therapy IncGroup PAC ID 1951455765, 16 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

3830 Valley Centre Dr
San Diego, CA 92130-3307
Phone (858) 217-2496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295667CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jul 2, 2024 Accepting new patients
Asis Physical Therapy, Inc. Physical Therapist CurrentSince Jan 29, 2026 Accepting new patients
Water and Sports Physical Therapy, Inc Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

11848 Bernardo Plaza Ct
Ste 100
San Diego, CA 92128
Phone (858) 217-2496

3830 Valley Centre Dr
Ste 701
San Diego, CA 92130
Phone (858) 217-2496

1828 Garnet Ave
San Diego, CA 92109
Phone (858) 217-2496

3639 Midway Dr
#B286
San Diego, CA 92110

501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027

3639 Midway Dr
Ste 8286
San Diego, CA 92110

Organizations & group practices 4

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1497220172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST STE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 41ST AVE STE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103934",
            "telephone_number": "831-706-2085",
            "fax_number": "831-417-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILON",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.

Verify at the official NPI Registry.