Organization Active NPI

Beach Communities Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Seal Beach, CA
National Provider Identifier
1144375114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BEACH COMMUNITIES PHYSICAL THERAPY, INC.
Practice address
2920 Westminster Ave
Seal Beach, CA 90740-5305
Phone
(562) 426-2051
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Eugene Smith
Title
Ceo
Phone
(562) 426-2051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2920 Westminster Ave
Seal Beach, CA 90740-5305

Mailing address

2920 Westminster Ave
Seal Beach, CA 90740-5305
Phone (562) 426-2051

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144375114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 WESTMINSTER AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405305",
            "telephone_number": "562-426-2051",
            "fax_number": "562-426-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 WESTMINSTER AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405305",
            "telephone_number": "562-426-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH COMMUNITIES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-426-2051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.