MEDICARE: MATRIX REHABILITATION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1902840721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATRIX REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	2300 COIT RD
Second Line	:	SUITE 300
City	:	PLANO
State	:	TX
Zip	:	75075-3768
Country	:	US
Telephone Number	:	469-467-8705
Fax Number	:	267-321-2550

Provider Business Practice Location Address
First Line	:	2401 E WARDLOW RD
Second Line	:	M/C CO54-0405
City	:	LONG BEACH
State	:	CA
Zip	:	90807-5309
Country	:	US
Telephone Number	:	562-593-5817
Fax Number	:	562-982-6735

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	DENNIS J. FITZPATRICK
Credential	:
Telephone Number	:	610-644-7824

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	08/22/2020

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