Healthcare Provider Details

I. General information

NPI: 1902217409
Provider Name (Legal Business Name): FORWARD MOTION PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23622 CALABASAS RD STE 100
CALABASAS CA
91302-1584
US

IV. Provider business mailing address

23622 CALABASAS RD STE 100
CALABASAS CA
91302-1584
US

V. Phone/Fax

Practice location:
  • Phone: 747-900-6115
  • Fax: 747-226-0919
Mailing address:
  • Phone: 747-900-6115
  • Fax: 747-226-0919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: NICOLAS BERARD
Title or Position: OWNER
Credential: DPT, PT, CSCS
Phone: 747-900-6362