MEDICARE: JOHN A. MOTOLA PT

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	225100000X	Physical Therapist	PT33426	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	WPT33426A	OTHER		MEDICARE PTAN

General Provider Information

NPI Number	:	1417008285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A. MOTOLA PT

Provider Business Mailing Address
First Line	:	PO BOX 62106
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93160-2106
Country	:	US
Telephone Number	:	805-681-1761
Fax Number	:	805-681-1768

Provider Business Practice Location Address
First Line	:	5385 HOLLISTER AVE
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2389
Country	:	US
Telephone Number	:	805-681-1761
Fax Number	:	805-681-1768

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	10/20/2023

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Directions to “ JOHN A. MOTOLA PT” Practice Location

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