Mygoal Physical Therapy and Wellness PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MYGOAL PHYSICAL THERAPY AND WELLNESS PC

Practice address

2932 Clover CT
Fullerton, CA 92835-4309

Phone

(714) 461-1968

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Cecile Sam

Title

Owner

Phone

(714) 461-1968

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Cecile Mae Sam, PT

  • Physical Therapist
  • Fullerton, CA
  • NPI 1073127098
  Medicare reassignment

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1144808932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 CLOVER CT",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 CLOVER CT",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354309",
            "telephone_number": "714-461-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYGOAL PHYSICAL THERAPY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-461-1968"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Murti
• Zahkiira Mustafa
• My Abc Enterprises, LLC
• Samantha Diane Myers
• Steven Andrew Myers, D.D.S.
• Zuri Dalila Myles, BA
• Eunice Myung Lee, O.D.
• Hye Yun NA, RN.BSN.IBCLC
• Eric Brian Naasz, D.P.M.
• Nada Mikhail DMD Inc

• Physical Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.