Organization Active NPI

Kids Physical Therapy Zone Inc

  • Physical Therapist
  • Camarillo, CA
National Provider Identifier
1295301893
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KIDS PHYSICAL THERAPY ZONE INC
Practice address
397 Mobil Ave
Camarillo, CA 93010-6310
Phone
(805) 383-1501
Fax
(805) 384-0478
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Keiko Goji, DPT
Title
Owner
Phone
(805) 843-1083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

397 Mobil Ave
Camarillo, CA 93010-6310

Mailing address

397 Mobil Ave
Camarillo, CA 93010-6310
Phone (805) 383-1501

National Provider Directory

National Provider Directory

Locations

397 Mobil Ave
Camarillo, CA 93010
Phone (805) 383-1501

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1295301893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 MOBIL AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106310",
            "telephone_number": "805-383-1501",
            "fax_number": "805-384-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 MOBIL AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106310",
            "telephone_number": "805-383-1501",
            "fax_number": "805-384-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PHYSICAL THERAPY ZONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "GOJI",
        "authorized_official_first_name": "KEIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-843-1083",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.