Organization Active NPI

Motion Complex Rehab

  • Durable Medical Equipment & Medical Supplies
  • Brea, CA
National Provider Identifier
1013576792
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOTION COMPLEX REHAB
Practice address
555 W Lambert Rd Ste L
Brea, CA 92821-3917
Phone
(558) 255-2598
Fax
(855) 825-4266
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Roopkumar Amirthiah
Title
Owner
Phone
(855) 825-5259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

555 W Lambert Rd Ste L
Brea, CA 92821-3917

Mailing address

555 W Lambert Rd Ste L
Brea, CA 92821-3917
Phone (714) 869-4618

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL complexmotion.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191014000352 CA DME Supplier - Medical Supply Company 9739410333 Practice locations: Buena Park, CA

National Provider Directory

National Provider Directory

Locations

555 W Lambert Rd
Ste L
Brea, CA 92821
Phone (558) 255-2598

711 W Lambert Rd
Brea, CA 92821
Phone (855) 825-8766

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1013576792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W LAMBERT RD STE L",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213917",
            "telephone_number": "714-869-4618",
            "fax_number": "855-825-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W LAMBERT RD STE L",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213917",
            "telephone_number": "558-255-2598",
            "fax_number": "855-825-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION COMPLEX REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "AMIRTHIAH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROOPKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-825-5259"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "complexmotion.com",
            "affiliation": "N",
            "endpointDescription": "complexmotion.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Hub",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "555 W Lambert Rd Ste L",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928213917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.