Individual provider Active NPI

Mitchell Wayne Mosdell, DPT

  • Physical Therapist
  • Simi Valley, CA
National Provider Identifier
1447711635
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296826 Issued in CA
Practice address
2525 Erringer Rd
Simi Valley, CA 93065-2352
Phone
(805) 303-2867
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6493 MS
Physical Therapist 225100000X 296826 CA Primary
Physical Therapist 225100000X 60933223 WA
Physical Therapist 225100000X 10824901-2401 UT
Physical Therapist 225100000X 63030 OR

Addresses

Primary practice location

2525 Erringer Rd
Simi Valley, CA 93065-2352

Mailing address

1008 South FTN. Dr.
Cedar City, UT 84720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230918002050 CA Practitioner - Physical Therapist in Private Practice 8820452337 Reassigns benefits to 1 organization
I20250407000716 OR Practitioner - Physical Therapist in Private Practice 8820452337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6493MSMDPhysical Therapist
10824901-2401UTMDPhysical Therapist
60933223WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Spine & Joint PC CurrentSince Jul 15, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 12, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 12, 2025 Accepting new patients
Monterey Spine & Joint PC CurrentSince Jul 15, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

19185 SW 90th Ave
Tualatin, OR 97062
Phone (503) 723-6699

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mitchell.mosdell.p1@direct.msjhealth.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1447711635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 SOUTH FTN. DR.",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ERRINGER RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652352",
            "telephone_number": "805-303-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSDELL",
        "first_name": "MITCHELL",
        "middle_name": "WAYNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "6493",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296826",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60933223",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "10824901-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.