Matrix Rehabilitation, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MATRIX REHABILITATION, INC.

Doing business as

Riverside Physical Therapy Center

Practice address

6180 Brockton Ave
Suite 101
Riverside, CA 92506-2259

Phone

(951) 781-6653

Fax

(951) 275-0149

NPI assigned

Jun 20, 2006

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

• Riverside Physical Therapy Center Doing business as

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": "1558306696",
    "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": "6180 BROCKTON AVE",
            "address_2": "SUITE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062259",
            "telephone_number": "951-781-6653",
            "fax_number": "951-275-0149"
        }
    ],
    "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": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Matigi, PSYCHIATRIC NP
• Amanda Matney
• Hitomi Matoba
• Maria Pia Matos Lujan
• Levi Matos
• Eric T. Matsuda, D.C.
• Sierra Matsudo
• Matthew 2540 LLC
• Matthew 2540 LLC
• Dezirae Matthew

• Rehabilitation Clinic/Center in Riverside, CA
• Providers in Riverside, 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.