Sally Waffik Matter, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36480 Issued in CA

Practice address

1347 S Grand Ave
Glendora, CA 91740-5046

Phone

(626) 857-4711

Fax

(626) 857-4712

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saly Wafik Boghdady Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anchor Medical GroupGroup PAC ID 9133616519, 19 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.

• Anchor Medical Group

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1700678810

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Southern California Medical Center, Inc.

  • Community Health Clinic/Center
  • El Monte, CA
  • NPI 1225357114
  Medicare reassignment NPD
• Southern California Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1447865415
  NPD
• Bay Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Montebello, CA
  • NPI 1063570653
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780984880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 S PUENTE ST",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215259",
            "telephone_number": "626-722-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405046",
            "telephone_number": "626-857-4711",
            "fax_number": "626-857-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTER",
        "first_name": "SALLY",
        "middle_name": "WAFFIK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT36480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALY",
            "last_name": "BOGHDADY",
            "middle_name": "WAFIK",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Emiko Martinez
• Gina Maria Mastrangelo, C.A.T.C.
• Katherine Mata
• Matrix Rehabilitation, Inc. (Select Physical Therapy)
• Lori Lynn Matsuno, O.D.
• Mayank J. Vakil, MD
• Debra Lynn Mayhew, HAD
• Maymar Hearing Aid Corporation
• Kristen McAleenan, MSW
• Veronica Lynn McClendon, LCSW

• Physical Therapist in Glendora, CA
• Providers in Glendora, CA by specialty
• Physical Therapist in California

• 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.

Verify at the official NPI Registry.