Active NPI
Matthew Jarvis, DPT
- Orthopedic Physical Therapist
- Hemet, CA
National Provider Identifier
1992109847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 39366
- Practice address
- 3889 W Stetson Ave
Hemet, CA 92545-9686 - Phone
- (951) 652-1600
- NPI assigned
- Oct 21, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 39366 | CA | Primary |
Addresses
Primary practice location
3889 W Stetson Ave
Hemet, CA 92545-9686
Mailing address
3889 W Stetson Ave
Hemet, CA 92545-9686
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1992109847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3889 W STETSON AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925459686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3889 W STETSON AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925459686",
"telephone_number": "951-652-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "MATTHEW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-21",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "39366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.