Active NPI
Rikako Matsuda, P.T.
- Pediatric Physical Therapist
- Woodland, CA
National Provider Identifier
1790926723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT27303
- Practice address
- 96 W Main St Ste B
Woodland, CA 95695-3016 - Phone
- (530) 668-1010
- Fax
- (530) 668-9799
- NPI assigned
- Mar 21, 2009
- Last updated
- Mar 21, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT27303 | CA | Primary |
Addresses
Primary practice location
96 W Main St Ste B
Woodland, CA 95695-3016
Mailing address
96 W Main St Ste B
Woodland, CA 95695-3016
Phone (530) 668-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27303 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237593600000",
"number": "1790926723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 W MAIN ST STE B",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953016",
"telephone_number": "530-668-1010",
"fax_number": "530-668-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 W MAIN ST STE B",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953016",
"telephone_number": "530-668-1010",
"fax_number": "530-668-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUDA",
"first_name": "RIKAKO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-21",
"last_updated": "2009-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT27303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.