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General NPI Number Information
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NPI Number | 1497780431
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Entity Type | Organization
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Legal Business Name | BIOMOTION PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1407 E LOS ANGELES AVE STE. K
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2863
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Country | US
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Telephone | 805-583-2400
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Fax | 805-583-2404
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Provider Business Mailing Address
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Address Line | 1407 E LOS ANGELES AVE STE. K
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2863
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Country | US
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Telephone | 805-583-2400
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Fax | 805-583-2404
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Authorized Official
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Title or Position | OWNER
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Name | DAVE FACIANA
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Credential | PT, OCS, SCS, CSCS
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Telephone | 805-583-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT28530
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT32476
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT27148
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT19246
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License Number State | CA
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