Evolutionary Motion Physical Therapy and Wellness, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EVOLUTIONARY MOTION PHYSICAL THERAPY AND WELLNESS, INC.

Practice address

149 S Clark Dr
Beverly Hills, CA 90211-2603

Phone

(310) 259-9577

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Sonia D Berezovsky, DPTNPI 1952163024

Title

Owner

Phone

(310) 259-9577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Sonia D Berezovsky, DPT

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1952163024
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1497517569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 S CLARK DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112603",
            "telephone_number": "310-259-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S CLARK DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112603",
            "telephone_number": "310-259-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONARY MOTION PHYSICAL THERAPY AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BEREZOVSKY",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-259-9577",
        "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": []
}

• Matthew Allen Evans, DNP, APRN, FNP-BC
• Andrew C Everett, PT, ATC, CSCS
• Evergreen Fund
• Evolution Holistic Healthcare, Incorporated
• Evolution Holistic Medical Group - Los Angeles, Inc.
• Expedite Medical Billing
• Expert Care Inc
• Eye Surgery Center of Beverly Hills
• Beatrice Ezrapour
• Louis Victor Fabale, D.C.

• Physical Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.