Healthcare Provider Details

I. General information

NPI: 1821368556
Provider Name (Legal Business Name): PERPETUAL MOTION PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 05/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28975 OLD TOWN FRONT ST SUITE 201
TEMECULA CA
92590-2863
US

IV. Provider business mailing address

28975 OLD TOWN FRONT ST SUITE 201
TEMECULA CA
92590-2863
US

V. Phone/Fax

Practice location:
  • Phone: 951-595-1738
  • Fax: 888-810-8122
Mailing address:
  • Phone: 951-595-1738
  • Fax: 888-810-8122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT30178
License Number StateCA

VIII. Authorized Official

Name: DR. REYNALDO M. MOJARES
Title or Position: OWNER/THERAPIST
Credential: DPT
Phone: 951-595-1738