Active NPI
Mitchell Wayne Mosdell, DPT
- Physical Therapist
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296826
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 73.77 of 100
- Quality
- 31.85
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6493 | MS | MD | Physical Therapist |
| 10824901-2401 | UT | MD | Physical Therapist |
| 60933223 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Monterey Spine & Joint PC | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Orthopaedic Surgery Physician
- Monterey, CA
- NPI 1881620599
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
- Orthopaedic Surgery of the Spine Physician
- Salinas, CA
- NPI 1942885835
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Monterey, CA
- NPI 1629864236
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.