Nina Mokhtarzada

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT302636 Issued in CA

Practice address

350 John Muir Pkwy Ste 250
Brentwood, CA 94513-5194

Phone

(925) 308-8160

NPI assigned

Aug 24, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

90.32 of 100Reported as group

Quality

89.54

Promoting interoperability

100

Improvement activities

40

Cost

74.34

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1962121756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHN MUIR PKWY STE 250",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135194",
            "telephone_number": "925-308-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKHTARZADA",
        "first_name": "NINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicollette Mitra, FNP
• Cecelia Monique Moctezuma
• Carl Neilon Modeste, PHD
• Rasheed Mohamed
• Mary Mohs
• Charlotte Glenn Molali, LCSW
• Leonardo Molina I
• Idcel Mondragon Valle
• Maritza Natalie Montano Chicas
• Araceli Montelongo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.