Active NPI
Performance Physical Therapy
- Physical Therapist
- Moorpark, CA
National Provider Identifier
1245391689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27154
- Legal business name
- PERFORMANCE PHYSICAL THERAPY
- Practice address
- 537 New Los Angeles Ave
#D
Moorpark, CA 93021-2059 - Phone
- (805) 552-1915
- NPI assigned
- Dec 12, 2006
- 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
- Shaun Murphy
- Title
- Owner
- Phone
- (805) 552-1915
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27154 | CA | Primary |
Addresses
Primary practice location
537 New Los Angeles Ave
#D
Moorpark, CA 93021-2059
Mailing address
537 New Los Angeles Ave
#D
Moorpark, CA 93021-2059
National Provider Directory
National Provider DirectoryLocations
537 New Los Angeles Ave
Ste D
Moorpark, CA 93021
Phone (805) 552-1915
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
- Boise, ID
- NPI 1376616508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245391689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 NEW LOS ANGELES AVE",
"address_2": "#D",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 NEW LOS ANGELES AVE",
"address_2": "#D",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212059",
"telephone_number": "805-552-1915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "SHAUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-552-1915"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT27154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.