Organization Active NPI

White Mountain Physical Therapy Inc

  • Physical Therapist
  • Moorpark, CA
National Provider Identifier
1568031573
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WHITE MOUNTAIN PHYSICAL THERAPY INC
Practice address
14711 Princeton Ave Ste 8
Moorpark, CA 93021-1465
Phone
(805) 876-4176
Fax
(805) 290-1994
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Megan Harper
Title
Coo
Phone
(805) 876-4176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14711 Princeton Ave Ste 8
Moorpark, CA 93021-1465

Mailing address

14711 Princeton Ave Ste 8
Moorpark, CA 93021-1465
Phone (805) 876-4176

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1568031573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE STE 8",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211465",
            "telephone_number": "805-876-4176",
            "fax_number": "805-290-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE STE 8",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211465",
            "telephone_number": "805-876-4176",
            "fax_number": "805-290-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-876-4176"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.