Active NPI
Xcelerate Physical Therapy Inc.
- Physical Therapist
- Moorpark, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- XCELERATE PHYSICAL THERAPY INC.
- Practice address
- 144 W Los Angeles Ave
Ste 110
Moorpark, CA 93021-1898 - Phone
- (805) 374-9900
- Fax
- (805) 374-9910
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Dederich
- Title
- PT
- Phone
- (805) 552-1915
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
144 W Los Angeles Ave
Ste 110
Moorpark, CA 93021-1898
Mailing address
144 W Los Angeles Ave
Ste 110
Moorpark, CA 93021-1898
Phone (805) 374-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ67264 | Other | CA | BLUE SHIELD |
| 264440100 | Other | CA | DEPT. OF LABOR |
National Provider Directory
National Provider Directory- Tax ID family
- Xcelerate Physical Therapy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Thousand Oaks, CA
- NPI 1306814124
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Moorpark, CA
- NPI 1912976853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659312000000",
"number": "1952444812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 W LOS ANGELES AVE",
"address_2": "STE 110",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930211898",
"telephone_number": "805-374-9900",
"fax_number": "805-374-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 W LOS ANGELES AVE",
"address_2": "STE 110",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930211898",
"telephone_number": "805-374-9900",
"fax_number": "805-374-9910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XCELERATE PHYSICAL THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A",
"authorized_official_last_name": "DEDERICH",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "PT",
"authorized_official_telephone_number": "805-552-1915"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ67264",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR",
"identifier": "264440100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.