MEDICARE: SCOLIOSIS CORNER

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1215889803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOLIOSIS CORNER

Provider Business Mailing Address
First Line	:	2628 PONCE AVE
Second Line	:
City	:	BELMONT
State	:	CA
Zip	:	94002-1541
Country	:	US
Telephone Number	:	650-430-5003
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 CARLMONT DR STE 2
Second Line	:
City	:	BELMONT
State	:	CA
Zip	:	94002-3488
Country	:	US
Telephone Number	:	650-430-5003
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANNA MOSKOVITS
Credential	:	PT
Telephone Number	:	650-430-5003

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “SCOLIOSIS CORNER ” Practice Location

Language	Start Address	Practice Location

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