Active NPI
Reynaldo Mendoza Mojares, PT
- Physical Therapist
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30178
- Practice address
- 28975 Old Town Front St
Suite 201
Temecula, CA 92590-2863 - Phone
- (951) 595-1738
- Fax
- (951) 595-1738
- NPI assigned
- Apr 3, 2008
- Last updated
- Oct 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30178 | CA | Primary |
Addresses
Primary practice location
28975 Old Town Front St
Suite 201
Temecula, CA 92590-2863
Mailing address
28975 Old Town Front St
Suite 201
Temecula, CA 92590-2863
Phone (951) 595-1738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28975 Old Town Front St
Suite 201
Temecula, CA 92590-2863
Phone (951) 595-1738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30178 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perpetual Motion Physical Therapy, Inc. | Current | Accepting new patients |
Locations
38977 Sky Canyon Dr
Ste 107
Murrieta, CA 92563
Phone (951) 595-1738
28975 Old Town Front St
Temecula, CA 92590
Phone (951) 595-1738
28975 Old Town Front St
Ste 201
Temecula, CA 92590
Phone (951) 595-1738
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Temecula, CA
- NPI 1821368556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1184897746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28975 OLD TOWN FRONT ST",
"address_2": "SUITE 201",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902863",
"telephone_number": "951-595-1738",
"fax_number": "951-595-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28975 OLD TOWN FRONT ST",
"address_2": "SUITE 201",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902863",
"telephone_number": "951-595-1738",
"fax_number": "951-595-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOJARES",
"first_name": "REYNALDO",
"middle_name": "MENDOZA",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT30178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.