Organization Active NPI

MVP Physical Therapy, Inc.

  • Physical Therapist
  • Bremerton, WA
National Provider Identifier
1841258373
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MVP PHYSICAL THERAPY, INC.
Doing business as
MVP Physical Therapy, Inc
Practice address
732 Lebo Blvd
Bremerton, WA 98310
Phone
(360) 479-8477
Fax
(360) 479-8417
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Margarita R Moore
Title
Credentialing and Provider Services
Phone
(951) 696-9353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X WA Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X WA

Addresses

Primary practice location

732 Lebo Blvd
Bremerton, WA 98310

Mailing address

24630 Washington Ave Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353

Other names 2

  • MVP Physical Therapy, Inc Doing business as
  • MVP Physical Therapy Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1841258373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 LEBO BLVD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-479-8477",
            "fax_number": "360-479-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING AND PROVIDER SERVICES",
        "authorized_official_telephone_number": "951-696-9353"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVP Physical Therapy, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MVP Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MVP Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.