HOLLY ANN MOODY BIBIAN (NPI# 1265743694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265743694 |
| Entity Type | Individual |
| Full Name | HOLLY ANN MOODY BIBIAN |
| Other Name | HOLLY ANN MOODY |
| Credential | P.T. |
| Practice Address |
3901 Las Posas Rd Ste 8 Camarillo CA 93010 |
| Mailing Address |
5720 Ralston St Ste 200 Ventura CA 93003-7844 |
| Practice Telephone | 8055853607 |
| Practice Fax Number | 8053841786 |
| Mailing Telephone | 8058044168 |
| Mailing Fax Number | 8058301177 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 36842 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 36842 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 325 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 913611201 | 8054463141 |
| Street Address |
3901 LAS POSAS RD STE 8 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467921452 | Jeanine Ann Mcdonell | Physical Therapist | 3901 Las Posas Rd Ste 8, Camarillo, CA 93010-1502 | 2018-11-19 |
| 1023494705 | Kelli Meredith Clevette | Occupational Therapist | 3901 Las Posas Rd Ste 8, Camarillo, CA 93010-1502 | 2015-08-05 |
| 1659751782 | Reynaldo James Dungca IIi | Occupational Therapist | 3901 Las Posas Rd Ste 8, Camarillo, CA 93010-1502 | 2015-06-03 |
| 1972919322 | Adriana Oliveros | Physical Therapist | 3901 Las Posas Rd Ste 8, Camarillo, CA 93010-1502 | 2014-07-07 |
| 1497023907 | Joshua Toussaint Turner | Physical Therapist | 3901 Las Posas Rd Ste 8, Camarillo, CA 93010-1502 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538684436 | Nathan Yoshio Saito | Physical Therapist | 2486 N Ponderosa Dr Ste D106, Camarillo, CA 93010-2376 | 2017-08-11 |
| 1881122885 | Susan Dempsey | Physical Therapist | 1566 Calle Portada, Camarillo, CA 93010-8420 | 2017-06-02 |
| 1114468204 | Joanna Kassar | Physical Therapist | 4035 Mission Oaks Blvd Unit B, Camarillo, CA 93012-5156 | 2017-03-09 |
| 1346783560 | Charleen Boucher | Physical Therapist | 2149 Rocklyn St, Camarillo, CA 93010-3332 | 2016-11-19 |
| 1407398282 | Melinda Pilones | Physical Therapist | 5039 Ladera Vista Dr, Camarillo, CA 93012-5334 | 2016-11-10 |
| 1033669650 | Robert S Chang | Physical Therapist | 2347 Jeffrey Rd, Camarillo, CA 93012-8239 | 2016-10-06 |
| 1215341177 | Inge Puskar | Physical Therapist | 6055 Cielo Vista Ct, Camarillo, CA 93012-8210 | 2014-06-18 |
| 1598900433 | Andrew Gold | Physical Therapist | 6760 San Onofre Dr, Camarillo, CA 93012-8264 | 2008-12-05 |
| 1134316235 | Laurie Hata Ross | Physical Therapist | 31 Calle Cataluna, Camarillo, CA 93012-9471 | 2007-10-02 |
| 1598966129 | Patricia L Gomavitz | Physical Therapist | 5151b Camino Ruiz, Bldg G, Camarillo, CA 93012-8645 | 2007-05-30 |
| Find all providers in CAMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.