Active NPI
Movement Solutions Physical Therapy
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1194213637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MOVEMENT SOLUTIONS PHYSICAL THERAPY
- Practice address
- 6711 Forest Lawn Dr Ste 104
Los Angeles, CA 90068-1032 - Phone
- (323) 851-7876
- NPI assigned
- Apr 30, 2018
- 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
- Dr. Michael Ballentine, DPT
- Title
- Owner
- Phone
- (917) 494-2090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA | Primary |
Addresses
Primary practice location
6711 Forest Lawn Dr Ste 104
Los Angeles, CA 90068-1032
Mailing address
4112 Los Feliz Blvd Apt 5
Los Angeles, CA 90027-2342
Phone (323) 851-7876
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525046400000",
"number": "1194213637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 LOS FELIZ BLVD APT 5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272342",
"telephone_number": "323-851-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 FOREST LAWN DR STE 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681032",
"telephone_number": "323-851-7876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVEMENT SOLUTIONS PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-30",
"last_updated": "2018-04-30",
"status": "A",
"authorized_official_last_name": "BALLENTINE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-494-2090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.