Individual provider Active NPI

Jane E Becker-Galusha, PT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1154461705
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 35711 Issued in CA
Practice address
4200 Trabuco Rd
Suite 150
Irvine, CA 92620-3600
Phone
(949) 651-9199
Fax
(949) 651-6034
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 35711 CA Primary

Addresses

Primary practice location

4200 Trabuco Rd
Suite 150
Irvine, CA 92620-3600

Mailing address

32921 Danapoplar
Dana Point, CA 92629-3104
Phone (360) 631-6877

Other identifiers 1

IdentifierTypeStateIssuer
8351025MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 35711CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Awareness Physical Therapy, Inc Physical Therapist Past Accepting new patients
South Orange County Physical Therapy Specialists, Inc. Physical Therapist PastSince Oct 27, 2009 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist Past Accepting new patients
Grace Physical Therapy, Inc. PastSince Apr 20, 2011 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1154461705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32921 DANAPOPLAR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293104",
            "telephone_number": "360-631-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD",
            "address_2": "SUITE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203600",
            "telephone_number": "949-651-9199",
            "fax_number": "949-651-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER-GALUSHA",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 35711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8351025",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.