Peggy Anne Matis, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

5652 Issued in CA

Practice address

13660 El Dorado Dr Apt 34I
Seal Beach, CA 90740-3840

Phone

(714) 381-5955

Fax

(562) 296-8995

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mesisca Physical Therapy IncGroup PAC ID 6406749548, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mesisca Physical Therapy Inc

  • Geriatric Physical Therapist
  • Laguna Niguel, CA
  • NPI 1821104472

  Geriatrics

  Medicare reassignment Care Compare group NPD
• JM Physical Therapy Inc

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1558658336

  Geriatrics

  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1699341289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 EL DORADO DR APT 34I",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907403840",
            "telephone_number": "714-381-5955",
            "fax_number": "562-296-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 EL DORADO DR APT 34I",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907403840",
            "telephone_number": "714-381-5955",
            "fax_number": "562-296-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13660 El Dorado Dr Apt 34I",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907403840",
            "country_code": "US",
            "telephone_number": "714-381-5955",
            "fax_number": "562-296-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIS",
        "first_name": "PEGGY",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc D Spitz D P M Inc
• Heather Martin
• Joshua Dean Martin, MSN, APRN, FNP-C
• Michael John Martinez, DPT, LPTA
• Richard Eduardo Mascioni, IDC
• Patricia Ann May
• Shannon McCourt, BCBA
• Douglas Lawrence McCune, DPM
• John James McEachin, PH.D.
• Laura L McEwan, RN, MSN,FNP-BC

• Geriatric Physical Therapist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.

Verify at the official NPI Registry.