Organization Active NPI

Motus Physical Therapy and Performance Inc

  • Physical Therapist
  • Manteca, CA
National Provider Identifier
1801384680
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOTUS PHYSICAL THERAPY AND PERFORMANCE INC
Practice address
1041 N Main St Ste a
Manteca, CA 95336-3988
Phone
(209) 824-9888
Fax
(209) 824-9469
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Mr. Mark De Jong, PT
Title
PT/Owner
Phone
(209) 824-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1041 N Main St Ste a
Manteca, CA 95336-3988

Mailing address

220 Standiford Ave Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628

Other practice location 1

1201 W Main St Ste 4
Ripon, CA 95366-3027
Phone (209) 409-4304

National Provider Directory

National Provider Directory

Locations

1191 E Yosemite Ave
Ste A
Manteca, CA 95336
Phone (209) 824-9469

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1801384680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N MAIN ST STE A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363988",
            "telephone_number": "209-824-9888",
            "fax_number": "209-824-9469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Ripon",
            "state": "CA",
            "postal_code": "953663027",
            "country_code": "US",
            "telephone_number": "209-409-4304",
            "fax_number": "855-615-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOTUS PHYSICAL THERAPY AND PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "DE JONG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "209-824-9888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.