Active NPI
Motion Complex Rehab
- Durable Medical Equipment & Medical Supplies
- Brea, CA
National Provider Identifier
1013576792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | complexmotion.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191014000352 | CA | DME Supplier - Medical Supply Company | 9739410333 | Practice locations: Buena Park, CA |
National Provider Directory
National Provider DirectoryLocations
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.