Moisan Physical Therapy and Wellness, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT35727 Issued in CA

Legal business name

MOISAN PHYSICAL THERAPY AND WELLNESS, INC

Doing business as

MPower Physical Therapy and Wellness

Practice address

302 N El Camino Real Ste 106
San Clemente, CA 92672-4776

Phone

(949) 310-3292

NPI assigned

Sep 17, 2013

Last updated

Sep 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Constance Moisan, DPTNPI 1427324508

Title

President

Phone

(949) 310-3292

Specialties & licenses 1

Addresses

Other names 1

• MPower Physical Therapy and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Constance Anne Moisan, DPT

  • Physical Therapist
  • San Clemente, CA
  • NPI 1427324508
  NPD (past) Authorized official

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1477989887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 106",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724776",
            "telephone_number": "949-310-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 106",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724776",
            "telephone_number": "949-310-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOISAN PHYSICAL THERAPY AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "MOISAN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-310-3292",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT35727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MPower Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mobile Wound Care, Inc.
• Mobilis Solutions Group, Inc.
• Albert Modad, PSYD
• Frank Joseph Mogavero, DDS MS
• Maziyar Mohsenpour, DC
• Constance Anne Moisan, DPT
• Molina Chiropractic Professional Corporation
• Dulce Molina de Briones, ND, PA-C
• Nancy Molina, D.C.
• Mona Soliman DDS Inc (San Clemente Dental Care)

• Physical Therapy Clinic/Center in San Clemente, CA
• Providers in San Clemente, 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 Sep 17, 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.

Verify at the official NPI Registry.