Brande Moffatt Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BRANDE MOFFATT PHYSICAL THERAPY PC

Practice address

2701 Old Eureka Way Ste 1K
Redding, CA 96001-0228

Phone

(530) 242-1728

Fax

(530) 242-1768

NPI assigned

Dec 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brande Moffatt, PTNPI 1457478307

Title

President/Ceo

Phone

(530) 242-1728

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Inner Strength Pelvic Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brande Moffatt, MPT

  • Physical Therapist
  • Redding, CA
  • NPI 1457478307
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1053022467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 OLD EUREKA WAY STE 1K",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010228",
            "telephone_number": "530-242-1728",
            "fax_number": "530-242-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OLD EUREKA WAY STE 1K",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010228",
            "telephone_number": "530-242-1728",
            "fax_number": "530-242-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDE MOFFATT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "MOFFATT",
        "authorized_official_first_name": "BRANDE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "530-242-1728",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Strength Pelvic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Bradlyn
• Lloyd G Braemer, M.D.
• Tara McKittrick Braemer
• Nancy Lee Bramlett
• Jarrett Treandus Branch Jr.
• Robin Brandstetter, DO, MS
• Heidi Marlene Branlund, L.AC.
• Faye Alicia Branum, PA
• Lawrence Paul Bratt, MD
• Frank Braun, PHARMACIST

• Physical Therapy Clinic/Center in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.