Active NPI
Victors Physical Therapy P C
- Physical Therapy Clinic/Center
- Camarillo, CA
National Provider Identifier
1396636205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- VICTORS PHYSICAL THERAPY P C
- Practice address
- 4000 Calle Tecate Ste 211
Camarillo, CA 93012-5287 - Phone
- (626) 221-6075
- NPI assigned
- Jul 10, 2025
- 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
- Stephanie Mooney, PT
- Title
- Owner
- Phone
- (626) 221-6075
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4000 Calle Tecate Ste 211
Camarillo, CA 93012-5287
Mailing address
364 Park Cottage PL
Camarillo, CA 93012-7703
Phone (626) 221-6075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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
- Camarillo, CA
- NPI 1881887958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756944000000",
"number": "1396636205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 PARK COTTAGE PL",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930127703",
"telephone_number": "626-221-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CALLE TECATE STE 211",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125287",
"telephone_number": "626-221-6075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORS PHYSICAL THERAPY P C",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A",
"authorized_official_last_name": "MOONEY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-221-6075",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"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 Sep 4, 2025; 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.