Back in Motion Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26104 Issued in CA

Legal business name

BACK IN MOTION THERAPY INC.

Practice address

3146 Crownview Dr
Rancho Palos Verdes, CA 90275-6414

Phone

(310) 918-0765

Fax

(310) 547-3886

NPI assigned

Apr 26, 2010

Last updated

Apr 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Anthony Berkovich, P.T.

Title

President

Phone

(310) 918-0765

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard Ralph Bautista, M.P.T.

  • Physical Therapist
  • Long Beach, CA
  • NPI 1801083639
  NPD (past)
• Nancy Smith Cox

  • Physical Therapist
  • San Diego, CA
  • NPI 1679653059
  NPD (past)
• Carol Puga, PTA

  • Physical Therapy Assistant
  • Torrance, CA
  • NPI 1962617787
  NPD (past)

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1790002095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 CROWN VIEW DRIVE",
            "city": "RPV",
            "state": "CA",
            "postal_code": "902756414",
            "telephone_number": "310-918-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 CROWNVIEW DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756414",
            "telephone_number": "310-918-0765",
            "fax_number": "310-547-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "BERKOVICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-918-0765",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diane Bagatourian, LMFT
• Belinda Cortes Bautista, RDH
• Ben Zandpour MD Inc
• Hind Bennani, DPM

• Physical Therapist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.