Active NPI
Matthew Daniel Moyer, PT
- Physical Therapist
- Auburn, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38423
- Practice address
- 11930 Heritage Oak PL Ste 9
Auburn, CA 95603-2458 - Phone
- (530) 887-8785
- Fax
- (530) 887-8112
- NPI assigned
- Nov 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38423 | CA | Primary |
Addresses
Primary practice location
11930 Heritage Oak PL Ste 9
Auburn, CA 95603-2458
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11930 Heritage Oak PL
Suite 8And9
Auburn, CA 95603-2458
Phone (530) 888-4528
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Physical Therapist | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Regional Medical Foundation | Physical Therapist | Past | Accepting new patients |
Locations
11930 Heritage Oak Pl
Ste 89
Auburn, CA 95603
Phone (530) 888-4528
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
Physical Therapist
-
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- NPI 1558388504
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740557412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11930 HERITAGE OAK PL STE 9",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032458",
"telephone_number": "530-887-8785",
"fax_number": "530-887-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "MATTHEW",
"middle_name": "DANIEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.