Modern Movement Physical Therapy & Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MODERN MOVEMENT PHYSICAL THERAPY & PERFORMANCE

Practice address

1450 5TH St Ste 100
Santa Monica, CA 90401-2574

Phone

(760) 637-9717

NPI assigned

Jun 21, 2024

Organization subpart

No

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

Authorized official

Name

Alex Cascone, DPT PTNPI 1457888323

Title

Ceo/Physical Therapist

Phone

(760) 637-9717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Modern Movement Physical Therapy Inc.

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1548932882

  Member Of

  NPD member

Locations

Practitioners 3

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

• Alex Cascone

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1457888323
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Cole, DPT, PT

  • Physical Therapist
  • Torrance, CA
  • NPI 1154975225
  Medicare reassignment Care Compare group NPD
• Arian Irannejad, PT

  • Physical Therapist
  • Anaheim, CA
  • NPI 1508362401
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1861236119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 5TH ST STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012574",
            "telephone_number": "760-637-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 5TH ST STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012574",
            "telephone_number": "760-637-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MOVEMENT PHYSICAL THERAPY & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "CASCONE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-637-9717",
        "authorized_official_credential": "DPT PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Modai, MD
• Linda Modaro, L.AC.
• Modern Core Physical Therapy and Wellness (Modern Core Health and Wellness)
• Modern Diagnostics Medical Services
• Modern Human MD PC
• Modern Movement Physical Therapy Inc.
• Omeed Modiri, MD
• Kevin Alan Moe
• Moeiz Koshki DDS Inc
• Ali Mogharei, DDS

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.