Massoud Mousavi, PT, DPT.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT19313 Issued in CA

Practice address

2212 Pico Blvd
Santa Monica, CA 90405-1720

Phone

(310) 393-9292

Fax

(310) 393-6693

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sundance Physical TherapyGroup PAC ID 2163442195, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sundance Physical Therapy

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1659499960

  Orthopedic

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1285858670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051720",
            "telephone_number": "310-393-9292",
            "fax_number": "310-393-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051720",
            "telephone_number": "310-393-9292",
            "fax_number": "310-393-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSAVI",
        "first_name": "MASSOUD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT19313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhad Motamedi, M.D
• Saba Motavassel, PHARMD
• Motiontech Physical Therapy
• Christine Anne Mourad, LMFT
• Anahid Parsegh Mouradian, PHARMD
• Mousette MD Inc
• Mehran Movassaghi, M.D.
• Jamack Mozaffari, DDS
• Jonathan Mozenter
• Ms Milam MD Inc

• Orthopedic Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.