MEDICARE: MOVEMENT WORKS PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1437179272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVEMENT WORKS PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	6695 E PACIFIC COAST HWY STE 100
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-4256
Country	:	US
Telephone Number	:	562-596-7074
Fax Number	:	562-596-7214

Provider Business Practice Location Address
First Line	:	6695 E PACIFIC COAST HWY STE 100
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-4256
Country	:	US
Telephone Number	:	562-596-7074
Fax Number	:	562-596-7214

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRANDON JOHANSEN BISHOP
Credential	:
Telephone Number	:	562-427-2225

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	04/24/2025

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