Active NPI
Motus Physical Therapy and Performance Inc
- Physical Therapist
- Manteca, CA
National Provider Identifier
1801384680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- Manteca, CA
- NPI 1639197825
-
- Physical Therapist
- Manteca, CA
- NPI 1891878815
-
- Physical Therapist
- Modesto, CA
- NPI 1386981728
-
- Physical Therapist
- Napa, CA
- NPI 1306929484
-
- Physical Therapist
- Tracy, CA
- NPI 1639190044
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.