Organization Active NPI

Movement Remedy Physical Therapy Inc

  • Physical Therapist
  • Pomona, CA
National Provider Identifier
1942064837
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOVEMENT REMEDY PHYSICAL THERAPY INC
Practice address
18 Rancho Camino Dr Ste 201
Pomona, CA 91766-7010
Phone
(909) 618-4106
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Joshua LauNPI 1245638840
Title
Founder
Phone
(909) 618-4106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

18 Rancho Camino Dr Ste 201
Pomona, CA 91766-7010

Mailing address

18 Rancho Camino Dr Ste 201
Pomona, CA 91766-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523001748 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234571134 Receives reassigned benefits from 2 practitioners
Practice locations: Pomona, CA

National Provider Directory

National Provider Directory

Locations

18 Rancho Camino Dr
Ste 201
Pomona, CA 91766
Phone (909) 618-4106

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1942064837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RANCHO CAMINO DR STE 201",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RANCHO CAMINO DR STE 201",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667010",
            "telephone_number": "909-618-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT REMEDY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "909-618-4106"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.