Matrix Rehabilitation, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MATRIX REHABILITATION, INC.

Doing business as

Select Physical Therapy

Practice address

3737 Moraga Ave
Suite B-117
San Diego, CA 92117-5358

Phone

(858) 270-0981

Fax

(858) 270-2901

NPI assigned

Jun 18, 2006

Last updated

Jun 20, 2023By the provider in NPPES

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 2

Addresses

Other names 1

• Select Physical Therapy Doing business as

Locations (25 of 26)

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn M Albert, P.T.

  • Physical Therapist
  • Aliso Viejo, CA
  • NPI 1780798710
  NPD (past)
• Jocelyn Arroyo, PTA

  • Physical Therapy Assistant
  • Mission Hills, CA
  • NPI 1174045207
  NPD (past)
• Danielle Coletta-Fox, P.T.

  • Physical Therapist
  • Aliso Viejo, CA
  • NPI 1104928860
  NPD (past)
• Diane Green, P.T.

  • Physical Therapist
  • Larkspur, CA
  • NPI 1801817218
  NPD (past)
• Frederike Haeusserman, P.T.

  • Physical Therapist
  • Larkspur, CA
  • NPI 1164467627
  NPD (past)
• Anthony Douglas Harrell, P.T.

  • Physical Therapist
  • Bakersfield, CA
  • NPI 1396290391
  NPD (past)
• Deedra Hazleton, P.T.

  • Physical Therapist
  • Big Bear Lake, CA
  • NPI 1073533667
  NPD (past)
• Lisa Hill, PHYSICAL THERAPIST

  • Physical Therapist
  • Burbank, CA
  • NPI 1730266131
  NPD (past)
• Chalinee Jill Intarachote, D.P.T.

  • Physical Medicine & Rehabilitation Physician
  • Newport Beach, CA
  • NPI 1093024739
  NPD (past)
• Steven Lee Itrich, P.T.

  • Physical Therapist
  • Aliso Viejo, CA
  • NPI 1881707792
  NPD (past)
• Karen Langford, DPT

  • Physical Therapist
  • Pasadena, CA
  • NPI 1316043375
  NPD (past)
• Minh Mai, P.T.

  • Physical Therapist
  • Anaheim, CA
  • NPI 1699881722
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1730124116",
    "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": "3737 MORAGA AVE",
            "address_2": "SUITE B-117",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175358",
            "telephone_number": "858-270-0981",
            "fax_number": "858-270-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "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": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Anne Matloff, MSW
• Fadi Matloob
• Nana Matoba, M.D.
• Heather Sue Matovu, LCSW
• Megan Marie Matrenec, D.O.
• Rebecca Matsch
• Natalie Matsche
• Shannon Marie Matsko, PHARM.D.
• Gary L. Matson Jr., D.O.
• Nancy L Matson, CRNA

• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.