Active NPI
Anthony Michael Mujica
- Physical Therapy Assistant
- Westlake Village, CA
National Provider Identifier
1811517352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 48299
- Practice address
- 30837 E Thousand Oaks Blvd
Westlake Village, CA 91362-4039 - Phone
- (818) 879-2091
- NPI assigned
- Apr 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 48299 | CA | Primary |
Addresses
Primary practice location
30837 E Thousand Oaks Blvd
Westlake Village, CA 91362-4039
Mailing address
56 Maegan PL Apt 1
Thousand Oaks, CA 91362-2774
Phone (328) 238-7647
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anthony@athleticpt.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48299 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1811517352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 MAEGAN PL APT 1",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913622774",
"telephone_number": "328-238-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30837 E THOUSAND OAKS BLVD",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913624039",
"telephone_number": "818-879-2091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUJICA",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "48299",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anthony@athleticpt.com",
"affiliation": "N",
"address_1": "30837 E Thousand Oaks Blvd",
"city": "Westlake Village",
"state": "CA",
"country_code": "US",
"postal_code": "913624039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.