Matthew Benjamin Bustillos, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT15153 Issued in CA

Practice address

24731 Alicia Pkwy
Unit B
Laguna Hills, CA 92653-4653

Phone

(949) 588-7278

Fax

(949) 588-7331

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bauer Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Laguna Hills, CA
  • NPI 1174666861
  NPD (past)
• Select CS Physical Therapy, P.C.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ridgecrest, CA
  • NPI 1386228302

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1578605010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27222 NOGAL",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923422",
            "telephone_number": "949-367-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24731 ALICIA PKWY",
            "address_2": "UNIT B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534653",
            "telephone_number": "949-588-7278",
            "fax_number": "949-588-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTILLOS",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT15153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Varon Burki, DPT, OCS
• Marianne Burns, P.T.A
• Tessa Burton, OTA
• Lise Marguerite Busby, OTR
• Bethany Busch
• Margaret Peggy Busto, LMFC
• Kayla Darsam Butler
• Kristen Marie Loy Bynon
• C and a Health Services Inc
• C&a Health Services, Inc

• Orthopedic Physical Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.