Matrix Rehabilitation, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MATRIX REHABILITATION, INC.

Doing business as

MATRIX Rehabilitation of Orangevale

Practice address

8680 Greenback LN
Suite 102-B
Orangevale, CA 95662-3970

Phone

(916) 988-2780

Fax

(916) 988-3429

NPI assigned

Jun 17, 2006

Last updated

Sep 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jayne F. Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Other names 1

• MATRIX Rehabilitation of Orangevale Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roselle Dizon Kelley, PT

  • Physical Therapist
  • San Jose, CA
  • NPI 1518440304
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1891730743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753768",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 GREENBACK LN",
            "address_2": "SUITE 102-B",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956623970",
            "telephone_number": "916-988-2780",
            "fax_number": "916-988-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATRIX Rehabilitation of Orangevale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalya Makoyed I
• Camille Marcello
• Bree J Marestin
• Mariano Nursing Inc
• Jason Gerard Marine Jr.
• Christina Inez Matson, RN
• Troy M Mauvais, DC
• Miranda Grace Maxwell
• MC Elite Services LLC
• Robert Cy McCallister, LAC.

• Physical Therapy Clinic/Center in Orangevale, CA
• Providers in Orangevale, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.