Moraga Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MORAGA PHYSICAL THERAPY PC

Practice address

10 Sparrow CT
Moraga, CA 94556-1826

Phone

(925) 325-3739

NPI assigned

Jan 11, 2023

Organization subpart

No

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

Authorized official

Name

Wendy Sue Chan, MPTNPI 1760190649

Title

Ceo/Owner

Phone

(925) 325-3739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Sue Chan, MPT

  • Physical Therapist
  • Moraga, CA
  • NPI 1760190649
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1316651532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SPARROW CT",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SPARROW CT",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561826",
            "telephone_number": "925-325-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAGA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "925-325-3739",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madrone Care Network, an Advanced Practice Nursing Corp
• Andrew Mansour, RPH
• Marquis Companies I, Inc
• Yasaman Masoudi
• Brea McQuoid
• Moraga Retreat Care Home Incorporated
• Moraga-Orinda Fire Protection District
• Moragaidence Opco, LLC
• Neuro Speech & Voice
• Neuro Speech & Voice LLC

• Physical Therapy Clinic/Center in Moraga, CA
• Providers in Moraga, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.