Active NPI
Iris Maoz, P.T.
- Physical Therapist
- Concord, CA
National Provider Identifier
1437126760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20826
- Practice address
- 2485 High School Ave
Suite 201
Concord, CA 94520-1819 - Phone
- (925) 691-9806
- Fax
- (925) 691-9807
- NPI assigned
- Mar 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20826 | CA | Primary |
Addresses
Primary practice location
2485 High School Ave
Suite 201
Concord, CA 94520-1819
Mailing address
450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 691-9806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20826 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1437126760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N WIGET LN",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982408",
"telephone_number": "925-691-9806",
"fax_number": "925-691-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 HIGH SCHOOL AVE",
"address_2": "SUITE 201",
"city": "CONCORD",
"state": "CA",
"postal_code": "945201819",
"telephone_number": "925-691-9806",
"fax_number": "925-691-9807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAOZ",
"first_name": "IRIS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-06",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT20826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.