MEDICARE: EMBRACE PROGRESSIVE 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
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1770385122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBRACE PROGRESSIVE THERAPY INC

Provider Business Mailing Address
First Line	:	29219 CANWOOD ST UNIT 107
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1560
Country	:	US
Telephone Number	:	818-914-7555
Fax Number	:

Provider Business Practice Location Address
First Line	:	29219 CANWOOD ST UNIT 107
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1560
Country	:	US
Telephone Number	:	818-914-7555
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAHAN MONJEZI
Credential	:	SPEECH PATHOLOGIST
Telephone Number	:	818-419-7555

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/10/2026

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Directions to “EMBRACE PROGRESSIVE THERAPY INC ” Practice Location

Language	Start Address	Practice Location

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