Movement Specialists Physical Therapy P C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34847 Issued in CA

Legal business name

MOVEMENT SPECIALISTS PHYSICAL THERAPY P C

Practice address

853 W 17TH St Ste a
Costa Mesa, CA 92627-4364

Phone

(949) 423-7077

Fax

(949) 423-7338

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Su Wang, PT, DPT, OCS, CSCSNPI 1699924894

Title

President

Phone

(949) 423-7077

Specialties & licenses 1

Addresses

Other names 1

• Movement Specialists Physical Therapy, P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Su Wang, PT, DPT, OCS, CSCS

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1699924894
  Medicare reassignment Authorized official
• Taylor Stuckly, PT, DPT

  • Orthopedic Physical Therapist
  • Costa Mesa, CA
  • NPI 1518441468
  NPD (past)

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1225440571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 W 17TH ST STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274364",
            "telephone_number": "949-423-7077",
            "fax_number": "949-423-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 W 17TH ST STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274364",
            "telephone_number": "949-423-7077",
            "fax_number": "949-423-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 Newman Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926477042",
            "country_code": "US",
            "telephone_number": "657-600-8320",
            "fax_number": "657-600-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVEMENT SPECIALISTS PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-423-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Movement Specialists Physical Therapy, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chams Mosrian
• Katelyn Rose Moss, M.A.
• Natalie Nicole Moss
• Connie Mossbarger
• Mothers and Daughters Center, Inc.
• Athena Mulder
• Alexander Mule, PA-C
• Lisa Demy Muller, FNP
• Karen Muna, MFT
• Beth Mundell, RD

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.