LISA ANN MODERA (NPI# 1588142681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588142681 |
| Entity Type | Individual |
| Full Name | LISA ANN MODERA |
| Credential | DPT |
| Practice Address |
325 Rolling Oaks Dr Ste 210 Thousand Oaks CA 91361-1088 |
| Practice Telephone | 8054463141 |
| Practice Fax Number | 8054463140 |
| Mailing Telephone | 8054463141 |
| Mailing Fax Number | 8054463140 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
295065 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
325 ROLLING OAKS DR STE 210 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-1088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285930917 | Angela Seeger | Physical Therapist | 325 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361-1088 | 2011-01-27 |
| 1821437062 | Daniel Wick | Physical Therapy Assistant | 325 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361-1088 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639107626 | Custom P.t., A Physical Therapy Corp | Physical Therapist | 325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361-1088 | 2006-06-29 |
| 1326551540 | Rebecca Araki | Physical Therapist | 2230 Lynn Rd Ste 220, Thousand Oaks, CA 91360-1985 | 2017-11-09 |
| 1245740380 | Danielle M. Cooper | Physical Therapist | 2166 N Moorpark Rd Ste 200, Thousand Oaks, CA 91360-5011 | 2017-10-03 |
| 1407289002 | Lisa Danielle Weeks | Physical Therapist | 325 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1201 | 2013-08-19 |
| 1508114851 | Darren Crismon | Physical Therapist | 3262 E Thousand Oaks Blvd Ste 100, Thousand Oaks, CA 91362-3445 | 2012-08-16 |
| 1568770840 | Adrienne Cecily Hofmann | Physical Therapist | 101 Hodencamp Rd, 100, Thousand Oaks, CA 91360-5836 | 2010-09-20 |
| 1336460633 | Ashley B Trujillo | Physical Therapist | 101 Hodencamp Rd, Suite 102, Thousand Oaks, CA 91360-5836 | 2010-06-21 |
| 1134368368 | Cody G Jones | Physical Therapist | 2230 Lynn Rd Ste 250, Thousand Oaks, CA 91360-1975 | 2009-02-11 |
| 1730327610 | Bradley C Woo | Physical Therapist | 2166 N Moorpark Rd Ste 200, Thousand Oaks, CA 91360-5011 | 2009-01-30 |
| 1841438843 | Claire Elizabeth Whitlock | Physical Therapist | 2667 N Moorpark Rd, Suite 108, Thousand Oaks, CA 91360-3001 | 2009-01-28 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on LISA ANN MODERA.
| 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.