Provider Demographics
NPI:1295367134
Name:SCHOPP PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:SCHOPP PHYSICAL THERAPY, INC
Other - Org Name:THE MOVEMENT SCHOPP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOPP
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:310-508-3790
Mailing Address - Street 1:1620 W WYCLIFF PL
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-3738
Mailing Address - Country:US
Mailing Address - Phone:310-508-3790
Mailing Address - Fax:
Practice Address - Street 1:291 W 22ND ST STE 104
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-7247
Practice Address - Country:US
Practice Address - Phone:310-508-3790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-09
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy