Madison Mounga, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297889 Issued in CA

Practice address

17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282

Phone

(949) 861-8600

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Impt IncGroup PAC ID 9335112762, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Impt, Inc.

  • Orthopedic Physical Therapist
  • Irvine, CA
  • NPI 1184670804

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1619507340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 W LINCOLN AVE APT 46",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016499",
            "telephone_number": "540-903-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17332 VON KARMAN AVE STE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146282",
            "telephone_number": "949-861-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNGA",
        "first_name": "MADISON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motion Medical Ortho LLC
• Lauren Kana Motoshige
• Motus Athletics Physical Therapy, Inc.
• Patricia Ann Moulton, PH.D.
• Ayesha Moulvi
• Mandy Mount
• Antoine A Mourra, MD
• Atena Moussavi, MFTI
• John George Moutsatson, DDS
• Move-Meant Physical Therapy and Wellness

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.