Moscardi Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28238 Issued in CA

Legal business name

MOSCARDI PHYSICAL THERAPY, INC

Practice address

911 Oak Park Blvd Ste 105
Pismo Beach, CA 93449-3406

Phone

(805) 481-8272

Fax

(805) 481-8045

NPI assigned

Nov 29, 2006

Last updated

Aug 11, 2020By 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

Louis Dominic MoscardiNPI 1417972977

Title

Owner / Physical Therapist

Phone

(805) 481-8272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Louis Dominic Moscardi, P.T.

  • Physical Therapist
  • Pismo Beach, CA
  • NPI 1417972977
  Medicare reassignment NPD Authorized official
• Sarah Jessica Potter

  • Physical Therapist
  • Atascadero, CA
  • NPI 1699494161
  Medicare reassignment NPD
• Ana Marcela Benitez, FNP-C

  • Family Nurse Practitioner
  • Pismo Beach, CA
  • NPI 1881499416
  NPD (past)
• Andrew Rodriguez, DPT

  • Orthopedic Physical Therapist
  • Pismo Beach, CA
  • NPI 1164998639
  NPD (past)
• Steven Richard Sabo, MD

  • Family Medicine Physician
  • Pismo Beach, CA
  • NPI 1639162910
  NPD (past)
• Kenneth A. Spearman, MD

  • Vascular & Interventional Radiology Physician
  • Arroyo Grande, CA
  • NPI 1912107772
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1770650301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 OAK PARK BLVD STE 105",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493406",
            "telephone_number": "805-481-8272",
            "fax_number": "805-481-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OAK PARK BLVD STE 105",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493406",
            "telephone_number": "805-481-8272",
            "fax_number": "805-481-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSCARDI PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "MOSCARDI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-481-8272"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Molfino, NP
• Mona Gill O D Corp (Advanced Eyecare Central Coast)
• Laurie Katherine Moore, PA
• Sara A. Moorehouse, DO
• Judy Burke Morabito, C. PED.
• Louis Dominic Moscardi, P.T.
• Alina Janine Moser, D.C., L.AC.
• Harsimran Natt, PT, DPT
• Lawrence H. Newman, M.D.
• Cu Q Nguyen, MD

• Physical Therapist in Pismo Beach, CA
• Providers in Pismo Beach, 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 11, 2020; 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.