Mobilized Physical Therapy Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOBILIZED PHYSICAL THERAPY CORPORATION

Doing business as

Mobilized Physical Therapy Corporation

Practice address

3732 Virden Ave
Oakland, CA 94619-1537

Phone

(510) 822-8280

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Russell Sadang, DPTNPI 1619394954

Title

Owner, Physical Therapist

Phone

(510) 822-8280

Specialties & licenses 1

Addresses

Other names 1

• Mobilized Physical Therapy Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Russell L Sadang, PT, DPT

  • Physical Therapist
  • Bergenfield, NJ
  • NPI 1619394954
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1760100168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 VIRDEN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191537",
            "telephone_number": "510-822-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 VIRDEN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191537",
            "telephone_number": "510-822-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILIZED PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "SADANG",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "510-822-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobilized Physical Therapy Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janine Moa
• Omeed Moalikyar
• Gita M. Moarefi, MD
• Mobile Therapy Solutions LLC
• Mobility in Medicine, Inc
• Azin Mobin, MD
• Kayla Moceri
• Julia Mochizuki
• Joe Mock
• Kiana Modavi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.