Organization Active NPI

Performance Physical Therapy

  • Physical Therapist
  • Moorpark, CA
National Provider Identifier
1245391689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27154 Issued in CA
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shaun MurphyNPI 1376616508
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.