Organization Active NPI

Back in Motion Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1922594175
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT292441 Issued in CA
Legal business name
BACK IN MOTION PHYSICAL THERAPY INC.
Practice address
1831 Wilshire Blvd Ste E
Santa Monica, CA 90403-5779
Phone
(424) 354-9633
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Janet Marissa Ruiz, DPT
Title
Physical Therapist
Phone
(310) 699-1162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT292441 CA Primary

Addresses

Primary practice location

1831 Wilshire Blvd Ste E
Santa Monica, CA 90403-5779

Mailing address

1831 Wilshire Blvd Ste E
Santa Monica, CA 90403-5779
Phone (424) 354-9633

National Provider Directory

National Provider Directory

Locations

1831 Wilshire Blvd
Ste E
Santa Monica, CA 90403
Phone (310) 453-1221

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1922594175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035779",
            "telephone_number": "424-354-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035779",
            "telephone_number": "424-354-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARISSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-699-1162",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT292441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.