Individual provider Active NPI

Christina Maria Moskala, D.P.T.

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1841612421
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292507 Issued in CA
Practice address
115 Natoma St
Folsom, CA 95630-2615
Phone
(916) 355-8500
Fax
(916) 355-8196
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070020352 IL
Physical Therapist 225100000X 2705 AK
Physical Therapist 225100000X 5501016449 MI
Physical Therapist 225100000X 292507 CA Primary

Addresses

Primary practice location

115 Natoma St
Folsom, CA 95630-2615

Mailing address

115 Natoma St
Folsom, CA 95630-2615
Phone (916) 355-8500

Other practice location 1

1500 Waukegan Rd
Suite 250
Glenview, IL 60025-2100
Phone (847) 657-9445

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2705AKMDDiagnostic Radiology Physician
292507CAMDPhysical Therapist
5501016449MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Folsom Physical Therapy & Training Center Inc Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients

Locations

115 Natoma St
Folsom, CA 95630
Phone (916) 355-8500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841612421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NATOMA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302615",
            "telephone_number": "916-355-8500",
            "fax_number": "847-657-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NATOMA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302615",
            "telephone_number": "916-355-8500",
            "fax_number": "916-355-8196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Waukegan Rd",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600252100",
            "country_code": "US",
            "telephone_number": "847-657-9445",
            "fax_number": "847-657-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKALA",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020352",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2705",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016449",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.