Active NPI
Moses Mobile Physical Therapy LLC
- Physical Therapy Clinic/Center
- Huntington Beach, CA
National Provider Identifier
1053062463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MOSES MOBILE PHYSICAL THERAPY LLC
- Practice address
- 4352 Pickwick Cir Apt 311
Huntington Beach, CA 92649-3126 - Phone
- (903) 306-8831
- NPI assigned
- Jan 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Steven Moses, PT, DPT
- Title
- Owner
- Phone
- (714) 264-0243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4352 Pickwick Cir Apt 311
Huntington Beach, CA 92649-3126
Mailing address
4352 Pickwick Cir Apt 311
Huntington Beach, CA 92649-3126
Phone (903) 306-8831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18030 Magnolia St
Fountain Valley, CA 92708
Phone (619) 483-1141
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fountain Valley, CA
- NPI 1942831375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642377600000",
"number": "1053062463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4352 PICKWICK CIR APT 311",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926493126",
"telephone_number": "903-306-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4352 PICKWICK CIR APT 311",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926493126",
"telephone_number": "903-306-8831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSES MOBILE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2021-12-21",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-264-0243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.