Mojo Sportclinic, LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

MOJO SPORTCLINIC, LLC

Practice address

6859 Monument Dr
Wilmington, NC 28405-4178

Phone

(910) 338-5545

Fax

(910) 338-5345

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Johannes P Duplessis, PT

Title

Owner/Manager

Phone

(910) 536-5667

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1679130744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 SARENSEN CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123393",
            "telephone_number": "910-536-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 MONUMENT DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054178",
            "telephone_number": "910-338-5545",
            "fax_number": "910-338-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJO SPORTCLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "DUPLESSIS",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "910-536-5667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Elliott Mock Jr., PHD, AUD
• Michael J. Moeller, M.D.
• Lauryn Nicole Moffa, MS, NCC, LCMHCA
• Fazil A Mohamed II, MD
• Sarah Mojazza
• Christian William Molnar, LCSW
• Momentum PT & Wellness LTD
• Momentum Recovery LLC
• Monarc Wellness
• Monarch

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.