Matrix Rehabilitation, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MATRIX REHABILITATION, INC.

Doing business as

Select Physical Therapy

Practice address

27071 Cabot Rd
Suite 114
Laguna Hills, CA 92653-7011

Phone

(949) 367-1833

Fax

(949) 367-1834

NPI assigned

Jun 20, 2006

Last updated

Oct 26, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• Select Physical Therapy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Matrix Rehabilitation, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Fountain Valley, CA
  • NPI 1174568539

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1518902667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27071 CABOT RD",
            "address_2": "SUITE 114",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537011",
            "telephone_number": "949-367-1833",
            "fax_number": "949-367-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farzad Massoudi, M.D.
• Robert K Masters, M.D.
• Ashley Mastromauro, BCBA
• Sarah Mathew
• Sarah I Mathias, DDS, MS, PC
• Kimberly Michelle Mattatall, BCBA
• Matthew Harris, MD, a Medical Corporation
• Sonja C. Matthias, M.D.
• Rachel Mattson, MA, BCBA
• Maxim Healthcare Services, Inc.

• Rehabilitation Clinic/Center in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.