Individual provider Active NPI

Daniel Mark Soller Villamayor

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1447897574
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297536 Issued in CA
Practice address
1965 Hillhurst Ave FL 1
Los Angeles, CA 90027-2711
Phone
(323) 912-9166
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 297536 CA Primary

Addresses

Primary practice location

1965 Hillhurst Ave FL 1
Los Angeles, CA 90027-2711

Mailing address

20336 Paseo Los Arcos
Porter Ranch, CA 91326-4324
Phone (805) 304-8085

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Daniel@motipt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297536CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Camarillo Skilled Home Health LLC Current Accepting new patients
Moti Physiotherapy, Inc. CurrentSince Dec 15, 2019 Accepting new patients

Locations

5926 Monterey Rd
Los Angeles, CA 90042
Phone (323) 503-1414

1965 Hillhurst Ave
Fl 1
Los Angeles, CA 90027
Phone (323) 912-9166

Interoperability endpoints

  • Direct secure messaging: daniel@motipt.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1447897574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20336 PASEO LOS ARCOS",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264324",
            "telephone_number": "805-304-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 HILLHURST AVE FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272711",
            "telephone_number": "323-912-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMAYOR",
        "first_name": "DANIEL MARK",
        "middle_name": "SOLLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daniel@motipt.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1965 Hillhurst Ave Fl 1",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900272711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 9, 2019; 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.