Healthcare Provider Details

I. General information

NPI: 1811811995
Provider Name (Legal Business Name): MADDUX MOVEMENT PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MOBIL AVE STE A1
CAMARILLO CA
93010-6345
US

IV. Provider business mailing address

423 W LOOP DR
CAMARILLO CA
93010-2040
US

V. Phone/Fax

Practice location:
  • Phone: 805-815-1738
  • Fax:
Mailing address:
  • Phone: 805-815-1738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRET D MADDUX
Title or Position: DIRECTOR, PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 805-815-1738