Matthew Villalobos

Physical Therapist in Los Angeles, CA. Individual provider (NPI-1).

NPI number1013372085

StatusActive

Last updated in NPPESOct 11, 2021

Details

NPI: 1013372085
Entity type: Individual (NPI-1)
Name: Matthew Villalobos
Sex: Male
Sole proprietor: Yes
Enumeration date: Dec 17, 2015
Certification date: Oct 11, 2021
Last updated: Oct 11, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	PT291154	CA	Yes

Practice location

1526 N Edgemont St
Los Angeles, CA 90027

Phone 800-954-8000

Mailing address

1526 N Edgemont St
Los Angeles, CA 90027-5260

Other practice locations

1526 N Edgemont St
Los Angeles, CA 90027

Phone 800-954-8000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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