Matthew Stodolsky, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27610 Issued in CA

Practice address

6399 Wilshire Blvd Ste 500
Los Angeles, CA 90048-5708

Phone

(323) 588-7600

Fax

(323) 315-5159

NPI assigned

Aug 15, 2006

Sex

Male

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Ganjianpour, M.D. a Professional CorporationGroup PAC ID 3577769058, 3 clinicians

Tower Orthopedics and Sports MedicineGroup PAC ID 1153347091, 2 clinicians

Sam Bakshian MD a Medical CorporationGroup PAC ID 5496950594, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• M Ganjianpour, M.D. a Professional Corporation

  • Specialist
  • Los Angeles, CA
  • NPI 1770806184
  Medicare reassignment Care Compare group NPD
• Sam Bakshian MD a Medical Corporation

  • Specialist
  • Los Angeles, CA
  • NPI 1932374261
  Medicare reassignment Care Compare group NPD
• Tower Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1629273818
  Medicare reassignment Care Compare group NPD
• Rajan Patel Corporation

  • Clinic/Center
  • Beverly Hills, CA
  • NPI 1417165309
  Medicare reassignment

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1699788091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485708",
            "telephone_number": "323-588-7600",
            "fax_number": "323-315-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485708",
            "telephone_number": "323-588-7600",
            "fax_number": "323-315-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODOLSKY",
        "first_name": "MATTHEW",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Stocklin, MS, AT
• Katherine Anne Stockly
• Joel Richard Stockman, M.D.
• Ty David Stockman
• Natalie Jean Stockton, LCSW
• Rick Stoeker
• Violet Jane Stoeker
• Kylie Nicole Stoeppel
• Marney E Stofflet, LCSW
• John Stofko

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.