MOVEMENT LAB PHYSICAL THERAPY, INC (NPI# 1578116489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578116489 |
| Entity Type | Organization |
| Organization Name | MOVEMENT LAB PHYSICAL THERAPY, INC |
| Practice Address |
16033 Bolsa Chica St Ste 101 Huntington Beach CA 92649-2452 |
| Mailing Address |
14271 Jeffrey Rd # 375 Irvine CA 92620-3405 |
| Practice Telephone | 5126444972 |
| Mailing Telephone | 5126444972 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | KUNIHIKO HOSAKA (PRESIDENT) |
| Authorized Official Telephone | 5126444972 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | OUT OF NETWORK PROVIDER | 1578711271 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4130 N Viking Way, Long Beach, CA 908081402 | 5126444972 |
| Street Address |
16033 BOLSA CHICA ST STE 101 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92649-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942829486 | Jd Physical Therapy Inc. | Physical Therapist | 16033 Bolsa Chica St Ste 101, Huntington Beach, CA 92649-2452 | 2020-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639305 | Tanisha Grant | Behavioral Analyst | 4592 Warner Ave, Huntington Beach, CA 92649 | 2020-11-04 |
| 1023582772 | Stanley Wayne Combs | Emergency Medicine | 16761 Edgewater Lane, Huntington Beach, CA 92649 | 2019-01-16 |
| 1609382084 | Loc Do | Pharmacist | 16922 Bolsa Chica, Huntington Beach, CA 92649 | 2017-12-20 |
| 1487166765 | Holly Forman | Marriage & Family Therapist | 17121 Tiffany Circle, Huntington Beach, CA 92649 | 2017-10-26 |
| 1205362522 | Pmh Laboratory Inc | Clinical Medical Laboratory | 5862 Edinger Ave, Huntington Beach, CA 92649 | 2017-05-05 |
| 1972050086 | Clear Reflections Psychol Assocs | Social Worker | 16897 Algonquin St., Ste L, Huntington Beach, CA 92649 | 2016-09-07 |
| 1588011274 | Wisdom Foods Inc | Dietitian, Registered | 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 | 2016-05-23 |
| 1801253398 | Thierry Kolpin | Psychologist | 5202 Edinger, Huntington Beach, CA 92649 | 2016-01-28 |
| 1811374242 | Margarita Bernardo Velarde | Pediatrics | 17392 Wildrose Lane, Huntington Beach, CA 92649 | 2015-05-06 |
| 1023439809 | Orange County Labs Inc. | Clinical Medical Laboratory | 15165 Triton Ln, Huntington Beach, CA 92649 | 2013-12-23 |
| Find all providers in zip 92649 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334878 | Fyziogym Physical Therapy of California Corp | Clinic/Center | 16331 Gothard St, Huntington Beach, CA 92647-3664 | 2019-09-10 |
| 1245685932 | Almonte Physical Therapy, Inc | Clinic/Center | 16501 Regina Cir Apt 4, Huntington Beach, CA 92649-3623 | 2016-04-30 |
| 1144522384 | Mellany Javier Ilagan-adamson | Clinic/Center | 21183 Sailors Bay Ln, Huntington Beach, CA 92646-6920 | 2010-11-19 |
| 1740393693 | Good Shepherd Rehabilitation Agency, Inc | Clinic/Center | 6091 Thor Dr, Huntington Beach, CA 92647-2400 | 2006-08-16 |
| 1275551988 | Eagle Physical Therapy of Huntington Beach | Clinic/Center | 19891 Beach Blvd, Suite 105, Huntington Beach, CA 92648-3209 | 2006-07-18 |
| 1780626572 | Matrix Rehabilitation, Inc. | Clinic/Center | 5355 Warner Ave, Suite 102, Huntington Beach, CA 92649-6030 | 2006-06-13 |
| 1275598039 | New Life Healthcare, LLC | Clinic/Center | 17122 Beach Blvd, Suite 101, Huntington Beach, CA 92647-5992 | 2006-04-17 |
| 1235756677 | Mobile Therapy Specialists Inc | Clinic/Center | 514 8th St, Huntington Beach, CA 92648-4631 | 2020-07-01 |
| 1669011177 | Total Motion Sports Therapy | Clinic/Center | 808 Adams Ave, Huntington Beach, CA 92648-3214 | 2019-12-31 |
| 1801388251 | Britta Louise Jones | Clinic/Center | 7921 Professional Cir, Huntington Beach, CA 92648-1901 | 2018-06-01 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92649 |
Please comment or provide details below to improve the information on MOVEMENT LAB PHYSICAL THERAPY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.