Active NPI
Heidi L Gastler, DPT
- Physical Therapist
- Manhattan Beach, CA
National Provider Identifier
1023061470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7572
- Practice address
- 3212 Highland Ave
Manhattan Beach, CA 90266-3888 - Phone
- (310) 567-2293
- Fax
- (310) 919-0447
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7572 | MN | Primary |
Addresses
Primary practice location
3212 Highland Ave
Manhattan Beach, CA 90266-3888
Mailing address
3212 Highland Ave
Manhattan Beach, CA 90266-3888
Phone (310) 567-2293
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196P6GA | Other | MN | BLUE CROSS BLUE SHIELD |
| 713523800 | Medicaid | MN | |
| 6405758 | Other | MN | MEDICA |
| P00278533 | Other | MN | RAILROAD MEDICARE |
| 125107 | Other | MN | UCARE |
| 936131043346 | Other | MN | PREFERRED ONE |
| HP53380 | Other | MN | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3212 Highland Ave
Manhattan Beach, CA 90266-3888
Phone (310) 567-2293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38261 | CA | MD | Dentist |
| 7572 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain to Sea Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Frank E Kaden D C Chiropractic Inc | Current | Accepting new patients | |
| Blue Water Enterprises, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1035 Aviation Blvd
Hermosa Beach, CA 90254
Phone (310) 251-0862
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Manhattan Beach, CA
- NPI 1508315318
Physical Therapist
-
- Chiropractor
- Hermosa Beach, CA
- NPI 1992824700
-
- Physical Therapy Clinic/Center
- Torrance, CA
- NPI 1801196571
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1023061470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 HIGHLAND AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663888",
"telephone_number": "310-567-2293",
"fax_number": "310-919-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 HIGHLAND AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663888",
"telephone_number": "310-567-2293",
"fax_number": "310-919-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTLER",
"first_name": "HEIDI",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "196P6GA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "713523800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6405758",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00278533",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "125107",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "936131043346",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP53380",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.