Active NPI
Eri Matsushita
- Physical Therapist
- Sunnyvale, CA
National Provider Identifier
1861030488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297525
- Practice address
- 333 Soquel Way
Sunnyvale, CA 94085-4102 - Phone
- (408) 736-7600
- NPI assigned
- Dec 13, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT297525 | CA | Primary |
Addresses
Primary practice location
333 Soquel Way
Sunnyvale, CA 94085-4102
Mailing address
333 Soquel Ave
Sunnyvale, CA 94085-4102
Phone (408) 736-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053320325 | Other | GROUP NPI | |
| ZZZ29361Z | Other | GROUP MEDICARE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT297525 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1861030488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SOQUEL AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854102",
"telephone_number": "408-736-7600",
"fax_number": "408-736-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SOQUEL WAY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854102",
"telephone_number": "408-736-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUSHITA",
"first_name": "ERI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1053320325",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "ZZZ29361Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.