NPI Code Details Logo

NPI 1063367829

NPI 1063367829 : EASY MOVEMENT INC : CAPITOLA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063367829
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EASY MOVEMENT INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/26/2026
-----------------------------------------------------
    Last Update Date     |    02/26/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    824 BAY AVE STE 20 
-----------------------------------------------------
    City                 |    CAPITOLA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95010-2104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-655-9611
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    226 MONTE VISTA DR 
-----------------------------------------------------
    City                 |    APTOS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95003-4015
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-655-9611
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER AND OT
-----------------------------------------------------
    Name                 |     SETH  PARIS 
-----------------------------------------------------
    Credential           |    OT/R
-----------------------------------------------------
    Telephone            |    831-325-4943
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.