MATTHEW STODOLSKY (P.T.) – Physical Therapist, NPI 1699788091

MATTHEW STODOLSKY (P.T.) is a healthcare provider. based in Los angeles, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT27610 (CA). The NPI Number for MATTHEW STODOLSKY (P.T.) is 1699788091

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW STODOLSKY (P.T.)
NPI
1699788091
Phone
(323) 588-7600
Address
6399 WILSHIRE BLVD STE 500
Enumeration Date
15 August 2006
Last Update Date
13 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108550751
Graduation Year
2000 (26 years ago)
PAC ID
0345296596
Group Practice PAC ID
5496950594
Professional Enrollment ID
I20050330000850
Address ID
CA900485468LO6330XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MATTHEW STODOLSKY (P.T.)

  • 6399 WILSHIRE BLVD STE 500

    LOS ANGELES, CA 900485708

    Phone: (323) 588-7600

    Fax: (323) 315-5159

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050330000850IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6,260244$0
97140Therapy procedure using manual technique, each 15 minutes3,930211$0
97535Training for self-care or home management, each 15 minutes548222$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care32949$0
97012Application of mechanical traction32357$0
View full utilization report →

Insurance plans in this area (ZIP 90048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496950594View full group profile
NameSpecialtyState
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

Does MATTHEW STODOLSKY (P.T.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MATTHEW STODOLSKY (P.T.) uses 1699788091.
Is MATTHEW STODOLSKY (P.T.) listed as active for patients and plans?
The listing shows MATTHEW STODOLSKY (P.T.) as active in the NPI system.
What healthcare role does MATTHEW STODOLSKY (P.T.) hold?
Scheduling teams often label MATTHEW STODOLSKY (P.T.) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect MATTHEW STODOLSKY (P.T.) on a map?
Expect Los Angeles, California as a primary anchor for MATTHEW STODOLSKY (P.T.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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