Organization Active NPI

Unbroken Wellness and Physical Therapy, P.C.

  • Physical Therapist
  • Moorpark, CA
National Provider Identifier
1801684246
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNBROKEN WELLNESS AND PHYSICAL THERAPY, P.C.
Practice address
14809 Blue Ridge CT
Moorpark, CA 93021-5047
Phone
(805) 341-7496
NPI assigned
Apr 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Collin McDonell, PTNPI 1275998783
Title
Ceo, Owner
Phone
(805) 341-7496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

14809 Blue Ridge CT
Moorpark, CA 93021-5047

Mailing address

14809 Blue Ridge CT
Moorpark, CA 93021-5047
Phone (805) 341-7496

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1745625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1801684246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14809 BLUE RIDGE CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215047",
            "telephone_number": "805-341-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14809 BLUE RIDGE CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215047",
            "telephone_number": "805-341-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBROKEN WELLNESS AND PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "MCDONELL",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "805-341-7496",
        "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 Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.