Momentum Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOMENTUM PHYSICAL THERAPY

Doing business as

Momentum Physical Therapy

Practice address

3718 McDonald Ave
Richmond, CA 94804

Phone

(510) 965-0811

Fax

(510) 965-0815

NPI assigned

Nov 18, 2005

Last updated

Oct 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anne Lasson

Title

Vice President

Phone

(408) 570-0510

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Momentum 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, and the practitioner matching its NPPES authorized official.

• Diana Bubanja, PHYSICAL THERAPIST

  • Physical Therapist
  • Richmond, CA
  • NPI 1386627750
  NPD (past)
• Michael J Fenno, PT

  • Physical Therapist
  • Oakland, CA
  • NPI 1396720876
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1942282405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951612260",
            "telephone_number": "877-325-2776",
            "fax_number": "408-945-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 MCDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "94804",
            "telephone_number": "510-965-0811",
            "fax_number": "510-965-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-570-0510"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT146460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "937082",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7092476",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stefan Moiceanu, D.D.S.
• Marcia Lourdes Molina, MSN, RN, PHN
• Michelle N/a Molina
• Victor Molina
• Patrick Mollett, D.O.
• Liliana Moncada, MSW
• Victor M Monjaraz
• Joanus Ann Arlene Monk
• Maria Celia Montenegro
• Iris B Montes

• Physical Therapist in Richmond, CA
• Providers in Richmond, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.