Organization Active NPI

Biomotion Physical Therapy PC

  • Physical Therapist
  • Moorpark, CA
National Provider Identifier
1124050190
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19246 Issued in CA
Legal business name
BIOMOTION PHYSICAL THERAPY PC
Practice address
865 Patriot Dr Ste 202
Moorpark, CA 93021-3405
Phone
(805) 530-3838
Fax
(805) 530-3832
NPI assigned
Jul 7, 2006
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BIOMOTION PHYSICAL THERAPY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Dave Faciana, PT, OCS, SCS, CSCSNPI 1184640880
Title
Owner
Phone
(805) 530-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapist 225100000X PT19246 CA Primary

Addresses

Primary practice location

865 Patriot Dr Ste 202
Moorpark, CA 93021-3405

Mailing address

865 Patriot Dr Ste 202
Moorpark, CA 93021-3405
Phone (805) 530-3838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712001436 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214827963 Receives reassigned benefits from 1 practitioner
Practice locations: Moorpark, CA

National Provider Directory

National Provider Directory
Part of
Biomotion Physical Therapy

Locations

4225 Tierra Rejada Rd
Moorpark, CA 93021
Phone (805) 530-3838

865 Patriot Dr
Ste 202
Moorpark, CA 93021
Phone (805) 530-3838

3160 Telegraph Rd
Ste 101
Ventura, CA 93003
Phone (805) 642-1581

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1124050190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR STE 202",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213405",
            "telephone_number": "805-530-3838",
            "fax_number": "805-530-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR STE 202",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213405",
            "telephone_number": "805-530-3838",
            "fax_number": "805-530-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMOTION PHYSICAL THERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIOMOTION PHYSICAL THERAPY PC",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "FACIANA",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-530-3838",
        "authorized_official_credential": "PT, OCS, SCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.