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NPI Code Detail

MEDICARE: MOVE PHYSICAL THERAPY, PC

MEDICARE: MOVE PHYSICAL THERAPY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1205793312
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOVE PHYSICAL THERAPY, PC
Provider Business Mailing Address
First Line : 11663 KIOWA AVE APT 201
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-6230
Country : US
Telephone Number : 206-225-4415
Fax Number :
Provider Business Practice Location Address
First Line : 11663 KIOWA AVE APT 201
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-6230
Country : US
Telephone Number : 206-225-4415
Fax Number :
Authorized Official
Title or Position : CEO, FOUNDER
Name : ELIZABETH KOMET
Credential : PT, DPT, CSCS
Telephone Number : 206-225-4415
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “MOVE PHYSICAL THERAPY, PC ” Practice Location

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