Individual provider Active NPI

Andrea Morales, DPT

  • Physical Therapist
  • Bermuda Dunes, CA
National Provider Identifier
1578174249
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298844 Issued in CA
Practice address
78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175
Phone
(760) 345-9934
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305214213 VA
Physical Therapist 225100000X 298844 CA Primary

Addresses

Primary practice location

78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175

Mailing address

72630 Ramon Rd Unit 788
Thousand Palms, CA 92276-5532
Phone (760) 693-9372

Other practice location 1

8100 Ashton Ave Ste 101
Manassas, VA 20109-5647
Phone (703) 257-8090

Other names 1

  • Andrea Valdez Former name

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

LicenseStateTypeSpecialty
2305214213VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James Mawhiney Physical Therapy Inc Physical Therapist CurrentSince Aug 14, 2020 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
PT Works Inc Physical Therapist PastSince Jan 31, 2021 Accepting new patients

Locations

78078 Country Club Dr
Ste 205
Bermuda Dunes, CA 92203
Phone (760) 345-9934

76375 Country Club Dr
Palm Desert, CA 92211
Phone (760) 345-9934

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1578174249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72630 RAMON RD UNIT 788",
            "city": "THOUSAND PALMS",
            "state": "CA",
            "postal_code": "922765532",
            "telephone_number": "760-693-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR STE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038175",
            "telephone_number": "760-345-9934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Ashton Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201095647",
            "country_code": "US",
            "telephone_number": "703-257-8090",
            "fax_number": "703-257-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214213",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "VALDEZ",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bermuda Dunes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.