Healthcare Provider Details

I. General information

NPI: 1174508253
Provider Name (Legal Business Name): MARY JOANN NOSEK PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26941 CABOT RD STE 125 NOSEK & ASSOCIATES PHYSICAL THERAPY INC
LAGUNA HILLS CA
92653
US

IV. Provider business mailing address

26941 CABOT RD STE 125
LAGUNA HILLS CA
92653
US

V. Phone/Fax

Practice location:
  • Phone: 949-273-6766
  • Fax: 949-273-6765
Mailing address:
  • Phone: 949-273-6766
  • Fax: 949-273-6765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT23314
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT23314
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: