=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144018862
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOVO PHYSICAL THERAPY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2025
-----------------------------------------------------
Last Update Date | 04/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 407 S SPALDING DR APT 9
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90212-4162
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-595-6686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 407 S SPALDING DR APT 9
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90212-4162
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-595-6686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAL THERAPIST/FOUNDER
-----------------------------------------------------
Name | KEVIN SOLEIMANI
-----------------------------------------------------
Credential | PT, DPT
-----------------------------------------------------
Telephone | 310-595-6686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------