Individual provider Active NPI

Mathew Grover, M.P.T

  • Physical Therapist
  • El Dorado Hills, CA
National Provider Identifier
1982928370
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36603 Issued in CA
Practice address
1200 Suncast LN
Suite 5
El Dorado Hills, CA 95762-9664
Phone
(916) 934-0914
Fax
(916) 934-0960
NPI assigned
Mar 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36603 CA Primary

Addresses

Primary practice location

1200 Suncast LN
Suite 5
El Dorado Hills, CA 95762-9664

Mailing address

1200 Suncast LN
Suite 5
El Dorado Hills, CA 95762-9664
Phone (916) 934-0914

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

LicenseStateTypeSpecialty
36603CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Physical Therapy, Inc. Physical Therapist PastSince Mar 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1982928370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SUNCAST LN",
            "address_2": "SUITE 5",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629664",
            "telephone_number": "916-934-0914",
            "fax_number": "916-934-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SUNCAST LN",
            "address_2": "SUITE 5",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629664",
            "telephone_number": "916-934-0914",
            "fax_number": "916-934-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "MATHEW",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.