Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ryan Haddock, PTLA

Individual provider Physical Therapist · NPI 1376936492

Mr. Ryan Haddock, PTLA is a Physical Therapist in Private Practice in Moorpark, California. Qualified in 2014, 12 years ago. Practices with Xcel Physical Therapy and Wellness Center PC, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

144 W Los Angeles Ave #110
Moorpark, CA 93021-1898
Phone: (805) 552-1915
Fax: (805) 552-1991
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (CA)

Record details

NPI number1376936492
Entity typeIndividual (Type 1)
GenderMale
Credentials PTLA
Sole proprietorNo
NPI enumeratedMarch 13, 2015
Last updated in NPPESMarch 13, 2015
Mailing address144 W Los Angeles Ave, 110, Moorpark, CA 93021-1898

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Xcel Physical Therapy And Wellness Center Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Moorpark