Hermann Brice Mofang

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014511A Issued in IN

Practice address

2307 La Porte Ave.
Suite 5
Valparaiso, IN 46383-6997

Phone

(219) 477-4500

Fax

(866) 715-9733

NPI assigned

Sep 6, 2015

Last updated

Apr 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hermann Mofang Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  IN

  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1871961904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 LA PORTE AVE.",
            "address_2": "SUITE 5",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836997",
            "telephone_number": "219-477-4500",
            "fax_number": "866-715-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFANG",
        "first_name": "HERMANN",
        "middle_name": "BRICE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-06",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014511A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERMANN",
            "last_name": "MOFANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mobile Mental Wellness, LLC
• Mobile Physicians Group LLC
• Mobile Wellness Incorporated
• Kamala B Modur, MD
• Elizabeth Victoria Moerman, FNP
• Melissa Moisant
• Alexandria Molaro
• Chava Kristin Molchan
• Katie Moldenhauer, BCBA
• Lisa M Molengraft, RN

• Physical Therapist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.