Healthcare Provider Details
I. General information
NPI: 1952227613
Provider Name (Legal Business Name): MOTION IQ PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 N TUSTIN AVE STE 355
SANTA ANA CA
92705-8684
US
IV. Provider business mailing address
1401 N TUSTIN AVE STE 355
SANTA ANA CA
92705-8684
US
V. Phone/Fax
- Phone: 714-867-1682
- Fax: 714-364-1064
- Phone: 714-867-1682
- Fax: 714-364-1064
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
S
KO
Title or Position: OWNER
Credential: DPT
Phone: 714-867-1682