Organization Active NPI

Think Physical Therapy

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1093758849
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19841 Issued in CA
Legal business name
THINK PHYSICAL THERAPY
Practice address
365 W 1St St
Tustin, CA 92780-3108
Phone
(714) 544-5565
Fax
(714) 544-5570
NPI assigned
Jun 13, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Mrs. Elizabeth Eileen Moshenko
Title
Office Manager
Phone
(714) 544-5565

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19841 CA Primary
Physical Therapist 225100000X PT19359 CA
Physical Therapist 225100000X PT18163 CA
Physical Therapist 225100000X PT20214 CA
Physical Therapist 225100000X PT26971 CA
Physical Therapist 225100000X PT37322 CA

Addresses

Primary practice location

365 W 1St St
Tustin, CA 92780-3108

Mailing address

365 W 1St St
Tustin, CA 92780-3108
Phone (714) 544-5565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000516 CA Part B Supplier - Clinic/Group Practice 4284521899 Receives reassigned benefits from 3 practitioners
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

17321 17th St
Tustin, CA 92780
Phone (714) 544-5565

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1093758849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W 1ST ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803108",
            "telephone_number": "714-544-5565",
            "fax_number": "714-544-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 1ST ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803108",
            "telephone_number": "714-544-5565",
            "fax_number": "714-544-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THINK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "MOSHENKO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-544-5565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19841",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19359",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18163",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20214",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26971",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.

Verify at the official NPI Registry.