Organization Active NPI

Move 4Ward Physical Therapy Corporation

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1215658729
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOVE 4WARD PHYSICAL THERAPY CORPORATION
Practice address
2207 Rockefeller LN Apt a
Redondo Beach, CA 90278-4488
Phone
(213) 808-2985
NPI assigned
Sep 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Michael Chan, DPT
Title
Owner
Phone
(213) 808-2985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2207 Rockefeller LN Apt a
Redondo Beach, CA 90278-4488

Mailing address

2207 Rockefeller LN Apt a
Redondo Beach, CA 90278-4488
Phone (213) 808-2985

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1215658729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 ROCKEFELLER LN APT A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784488",
            "telephone_number": "213-808-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 ROCKEFELLER LN APT A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784488",
            "telephone_number": "213-808-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE 4WARD PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-808-2985",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.