Pro Move Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRO MOVE PHYSICAL THERAPY PC

Practice address

528 Stanford Rd
Burbank, CA 91504-2950

Phone

(818) 642-6649

NPI assigned

May 13, 2021

Last updated

May 27, 2021By 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

Naeiri Khachkian, DPTNPI 1215442520

Title

Owner

Phone

(818) 642-6649

Specialties & licenses 2

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, and the practitioner matching its NPPES authorized official.

• Naeiri Khachkian

  • Physical Therapist
  • Burbank, CA
  • NPI 1215442520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1811561061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 STANFORD RD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 STANFORD RD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042950",
            "telephone_number": "818-642-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MOVE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "KHACHKIAN",
        "authorized_official_first_name": "NAEIRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-642-6649",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Prince Ling, M.S., LMFT
• Priority Behavioral Medical Group
• Kyryl Prisichenko, DPT
• Pristine Home Health Inc
• Privilege Home Health Care, Inc.
• Procare Wound & Podiatry Services
• Professional Foot and Ankle Center, Inc
• Professional Medical Transportation
• Progress Palliative Care, Inc.
• Progressive Wellness Partners, Inc

• Physical Therapy Clinic/Center in Burbank, CA
• Providers in Burbank, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.