Mobility Collective Physical Therapy and Wellness Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOBILITY COLLECTIVE PHYSICAL THERAPY AND WELLNESS INC

Doing business as

Mobility Collective Co

Practice address

450 S Brent St
Ventura, CA 93003-4707

Phone

(805) 512-1107

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelby Rose Doud, PTNPI 1124385943

Title

Physical Therapist

Phone

(805) 512-1107

Specialties & licenses 2

Addresses

Other names 1

• Mobility Collective Co Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelby Rose Doud, DPT

  • Physical Therapist
  • Ventura, CA
  • NPI 1124385943
  NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1760226146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034707",
            "telephone_number": "805-512-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034707",
            "telephone_number": "805-512-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 E Thompson Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930010040",
            "country_code": "US",
            "telephone_number": "805-512-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILITY COLLECTIVE PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "DOUD",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-512-1107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Collective Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Anais Mitchell, CATC III
• Brent Kenji Mitsuuchi, O.D.
• Debra Miyasaki
• Alejandro Guillermo Mizraji, D.D.S.
• MNS Medical Associates
• Anastasia Mobley Tobias
• Douglas Raymond Moes, PH.D., BCBA-D
• Kristina Lynn Moes, LCSW
• Robert Keith Moffatt, MD
• Susan L Moffatt, FNP

• Physical Therapy Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.