Mountain Physical Therapy, Inc., Dba

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT97780 Issued in CA

Legal business name

MOUNTAIN PHYSICAL THERAPY, INC., DBA

Doing business as

Sierra Physical Therapy

Practice address

14520 Mono Way
Ste 130
Sonora, CA 95370-9500

Phone

(209) 533-1273

Fax

(209) 522-1382

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Linda K Alcorn

Title

Office Manager

Phone

(209) 533-1273

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sierra Physical Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Gwendolyn Harris, D.P.T.

  • Physical Therapist
  • Sonora, CA
  • NPI 1588804215
  NPD (past)
• Marilyn J Nishi-Gormely, PT

  • Physical Therapist
  • Sonora, CA
  • NPI 1538264486
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881793487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14520 MONO WAY",
            "address_2": "STE 130",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709500",
            "telephone_number": "209-533-1273",
            "fax_number": "209-533-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14520 MONO WAY",
            "address_2": "STE 130",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709500",
            "telephone_number": "209-533-1273",
            "fax_number": "209-522-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PHYSICAL THERAPY, INC., DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-533-1273"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT97780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00064243",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ39907Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Moran
• Kimm M Moss
• James D. Mosson, M.D.
• Motherlode Sleep Center Inc
• Mickey C Moua, DDS
• Richard Alan Munger, M.D.
• Loren Lloyd Munson, MPT
• Danielle J Murphy
• Linda Sue Murray, R.N.
• Mayline Michelle Nambela-Barlow, MD

• Physical Therapy Clinic/Center in Sonora, CA
• Providers in Sonora, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.