MEDICARE: ROBERT MOONEY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	PT22218	CA

General Provider Information

NPI Number	:	1790858256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MOONEY P.T.

Provider Business Mailing Address
First Line	:	3791 MODDISON AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-1523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 W BEAMER ST
Second Line	:	ROOM A
City	:	WOODLAND
State	:	CA
Zip	:	95695-2510
Country	:	US
Telephone Number	:	530-666-6184
Fax Number	:	530-666-6155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1063104651 — DANIEL ALLAN WALKER SUDRC II
Practice Location Address:

215 W BEAMER ST
WOODLAND, CA
95695-2510

Practice Phone: 530-405-2815
Practice Fax:

1922101922 — MARGE LEE P.A.
Practice Location Address:

215 W BEAMER ST
WOODLAND, CA
95695-2510

Practice Phone: 530-405-2800
Practice Fax: 530-204-5295

1558469064 — OLE HEALTH
Practice Location Address:

215 W BEAMER ST
WOODLAND, CA
95695-2510

Practice Phone: 530-666-8960
Practice Fax: 530-666-8527

1922187574 — JASON AURIEMMA M.D.
Practice Location Address:

215 W BEAMER ST
WOODLAND, CA
95695-2510

Practice Phone: 530-405-2800
Practice Fax: 530-204-5295

1346314085 — MRS. BRENDA CRISTINE LEE MPT
Practice Location Address:

285 W BEAMER ST
WOODLAND, CA
95695-2510

Practice Phone: 530-666-6184
Practice Fax:

1053485839 — MRS. CYNTHIA MERCEDES ORTIZ OTR
Practice Location Address:

285 W BEAMER ST
WOODLAND, CA
95695-2510

Practice Phone: 530-666-6184
Practice Fax:

Directions to “ ROBERT MOONEY P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.