Active NPI
Daniel Mark Soller Villamayor
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1447897574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297536
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 297536 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camarillo Skilled Home Health LLC | Current | Accepting new patients | |
| Moti Physiotherapy, Inc. | Current | 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
- 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.
-
- Home Health Agency
- Camarillo, CA
- NPI 1689825473
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1205477148
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.