Matthew David Addleman, PT, DPT
Individual provider Active NPI Physical Therapist · Burlingame, CA
NPI 1679350409 · NPPES record last updated Jul 3, 2024
Key facts
- NPI
- 1679350409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT304415 (CA)
- Practice address
- 1633 Bayshore Hwy Ste 145
Burlingame, CA 94010-1530 - Phone
- (650) 239-9075
- NPI assigned
- Sep 14, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- More Physical Therapy Inc
Practice addresses (Care Compare)
1633 Bayshore Hwy
Suite 145
Burlingame, CA 94010-1530
Phone (650) 239-9075
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730003311 | CA | Practitioner - Physical Therapist in Private Practice | 8123565801 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT304415 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| More Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Sierra Orthopaedic & Athletic Rehabilitation Physical Therapyinc | Physical Therapist | Past |
Accepting new patients |
| Ron L Kopitzke PT, DPT Ocs | Past |
Accepting new patients |
Locations
1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075
2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT304415 | CA | Yes |
Addresses
Primary practice location
1633 Bayshore Hwy Ste 145
Burlingame, CA 94010-1530
Mailing address
2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 556-0110
Other providers in Burlingame, CA
- Edward V Abratowski
- Access Medical, Inc.
- Access Multi-Specialty Medical Clinic, Inc
- Melanie Acosta
- Acts of Kindness Matter, LLC
- Shelley Adger
- Sarah Elizabeth Adler-Chai
- Susan Adler
- Advanced Wound Center of Burlingame PC
- Shital Aggarwal
All providers in Burlingame, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.