IndividualActive
Matthew Stansbery, COTA/L
NPI 1508560897 · Occupational Therapy Assistant · Gardena, CA
Provider details
- NPI number
- 1508560897
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- License
- 5666 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1045 W Redondo Beach Blvd
Gardena, CA 90247-4128
Phone: (310) 553-2695
Street-level locationGet directions
Mailing address
3480 Garnet St Apt 204
Torrance, CA 90503-3675
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.