Active NPI
Matthew Charles Truett, PTA
- Physical Therapy Assistant
- Redlands, CA
National Provider Identifier
1881895654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6526
- Practice address
- 1553 Clock St
Redlands, CA 92374-3911 - Phone
- (951) 768-8007
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 6526 | CA | Primary |
Addresses
Primary practice location
1553 Clock St
Redlands, CA 92374-3911
Mailing address
1553 Clock St
Redlands, CA 92374-3911
Phone (951) 768-8007
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881895654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1553 CLOCK ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923743911",
"telephone_number": "951-768-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 CLOCK ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923743911",
"telephone_number": "951-768-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUETT",
"first_name": "MATTHEW",
"middle_name": "CHARLES",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "6526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.