Organization Active NPI

Mossberg & Associates Physcial Therapy Inc

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1073564886
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10910 Issued in CA
Legal business name
MOSSBERG & ASSOCIATES PHYSCIAL THERAPY INC
Practice address
9855 Erma Rd
Ste 106
San Diego, CA 92131
Phone
(858) 549-7111
Fax
(858) 549-9240
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Mr. Gunnar Torsten Mossberg
Title
President
Phone
(858) 549-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT10910 CA Primary

Addresses

Primary practice location

9855 Erma Rd
Ste 106
San Diego, CA 92131

Mailing address

9855 Erma Rd
Ste 106
San Diego, CA 92131
Phone (858) 549-7111

National Provider Directory

National Provider Directory

Locations

9855 Erma Rd
Ste 106
San Diego, CA 92131
Phone (858) 549-7111

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1073564886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD",
            "address_2": "STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-549-7111",
            "fax_number": "858-549-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD",
            "address_2": "STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-549-7111",
            "fax_number": "858-549-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSBERG & ASSOCIATES PHYSCIAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "MOSSBERG",
        "authorized_official_first_name": "GUNNAR",
        "authorized_official_middle_name": "TORSTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-549-7111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.