MATTHEW REDFERN (NPI# 1043777212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043777212 |
| Entity Type | Individual |
| Full Name | MATTHEW REDFERN |
| Credential | PTA |
| Practice Address |
1027 N Harbor Blvd Fullerton CA 92832 |
| Mailing Address |
1027 N Harbor Blvd Fullerton CA 92832-1361 |
| Practice Telephone | 7148708478 |
| Mailing Telephone | 7148708478 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 49793 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1027 N HARBOR BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013933613 | Matthew J. Reekstin | Physical Therapist | 1027 N Harbor Blvd, Suite B, Fullerton, CA 92832-1310 | 2006-07-15 |
| 1427681386 | Rachel Kim | Physical Therapist | 1027 N Harbor Blvd, Fullerton, CA 92832-1361 | 2020-02-19 |
| 1487179008 | Jonathon Myers | Physical Therapist | 1027 N Harbor Blvd, Fullerton, CA 92832-1310 | 2017-08-04 |
| 1780126284 | Kevin Pham | Physical Therapist | 1027 N Harbor Blvd, Suite B, Fullerton, CA 92832-1310 | 2016-11-15 |
| 1346647138 | Tamra Lyn Slanker | Physical Therapist | 1027 N Harbor Blvd, Fullerton, CA 92832-1310 | 2014-11-23 |
| 1851671614 | Samantha Waller Waltz | Physical Therapist | 1027 N Harbor Blvd, Fullerton, CA 92832-1310 | 2011-08-25 |
| 1346266954 | Reekstin Enterprises Inc. | Clinic/Center | 1027 N Harbor Blvd, Suite B, Fullerton, CA 92832-1310 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1003204330 | Agnieszka Murphy | Physical Therapy Assistant | 1348 W Oak Ave, Fullerton, CA 92833-4031 | 2015-01-09 |
| 1407244965 | Eric Soderquist | Physical Therapy Assistant | 1334 Calle Grande, Fullerton, CA 92835-2855 | 2015-01-06 |
| 1255729869 | Neil Richardson | Physical Therapy Assistant | 1621 W Oak Ave, Fullerton, CA 92833-3834 | 2015-01-05 |
| 1225467863 | Anna Mortensen | Physical Therapy Assistant | 2013 Oxford Ave Apt 8, Fullerton, CA 92831-1629 | 2013-11-04 |
| 1104125913 | Mark Lauritis | Physical Therapy Assistant | 2222 N. Harbor Blvd., Fullerton, CA 92835 | 2011-03-18 |
| 1588996789 | Paul Christopher Arrey | Physical Therapy Assistant | 2736 Anacapa Pl, Fullerton, CA 92835-2413 | 2010-02-12 |
| 1427236710 | Cristina Lopez | Physical Therapy Assistant | 1100 N Placentia Ave Apt E33, Fullerton, CA 92831-3278 | 2008-02-08 |
| 1558373787 | Nancy Lee Paterson | Physical Therapy Assistant | 1632 Riverside Dr, Fullerton, CA 92831-2922 | 2006-08-13 |
| 1396771929 | Corina Moya Tieves | Physical Therapy Assistant | 2000 E Chapman Ave, Fullerton, CA 92831-4106 | 2006-06-24 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.