Active NPI
Matthew S Pilon, PT
- Physical Therapist
- Capitola, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT295667
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT295667 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Asis Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Water and Sports Physical Therapy, Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- San Diego, CA
- NPI 1023269222
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- San Diego, CA
- NPI 1699840934
-
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1588085625
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.