Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Medina Sam

Individual provider Behavior Technician · NPI 1497351407

Matthew Medina Sam is a Physical Therapist in Private Practice in San Bruno, California. Qualified in 2024, 2 years ago. Practices with Orthopaedic and Neurological Rehab Inc, a 417-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1001 Sneath Ln Ste 200
San Bruno, CA 94066-2349
Phone: (650) 243-9849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1497351407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 7, 2020
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address1755 31st Ave, San Francisco, CA 94122-4203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Orthopaedic And Neurological Rehab Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Bruno