NPIMap

Organization Active NPI

Truckee Physical Therapy Inc

Doing business as Truckee Physical Therapy

  • Physical Therapist
  • Truckee, CA
National Provider Identifier
1295824761
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRUCKEE PHYSICAL THERAPY INC
Doing business as
Truckee Physical Therapy
Practice address
11053 Donner Pass Rd
Truckee, CA 96161-4839
Phone
(530) 587-4790
Fax
(530) 587-4815
NPI assigned
Oct 12, 2006
Last updated
Nov 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Laura Mohun, PTNPI 1629166228
Title
President / Owner
Phone
(530) 587-4790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Primary

Addresses

Primary practice location

11053 Donner Pass Rd
Truckee, CA 96161-4839

Mailing address

11053 Donner Pass Rd
Truckee, CA 96161-4839
Phone (530) 587-4790

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ65171ZOtherCABLUE SHIELD GROUP NUMBER

Other names 1

  • Truckee Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

11053 Donner Pass Rd
Truckee, CA 96161
Phone (530) 587-4790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1295824761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11053 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614839",
            "telephone_number": "530-587-4790",
            "fax_number": "530-587-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11053 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614839",
            "telephone_number": "530-587-4790",
            "fax_number": "530-587-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCKEE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "MOHUN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "530-587-4790",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ65171Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Truckee Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.