Individual provider Active NPI

Gregory S Beaton, P.T.

  • Orthopedic Physical Therapist
  • Malibu, CA
National Provider Identifier
1184790685
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT14158 Issued in CA
Practice address
24955 Pacific Coast Hwy
C-102
Malibu, CA 90265-4700
Phone
(310) 456-9332
Fax
(310) 456-5868
NPI assigned
Nov 27, 2006
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT14158 CA Primary

Addresses

Primary practice location

24955 Pacific Coast Hwy
C-102
Malibu, CA 90265-4700

Mailing address

24955 Pacific Coast Hwy
C-102
Malibu, CA 90265-4700
Phone (310) 456-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000783 CA Practitioner - Physical Therapist in Private Practice 9436192622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24955 Pacific Coast Hwy
Suite C102
Malibu, CA 90265-4749
Phone (310) 456-9332

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14158CAMDAcupuncturist
PT14158CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaton Orthopedic Physical Therapy-Malibu Rehabilitation Center Orthopedic CurrentSince Jul 2, 2000 Accepting new patients

Locations

24955 Pacific Coast Hwy
Ste C102
Malibu, CA 90265
Phone (310) 456-9332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1184790685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24955 PACIFIC COAST HWY",
            "address_2": "C-102",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654700",
            "telephone_number": "310-456-9332",
            "fax_number": "310-456-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24955 PACIFIC COAST HWY",
            "address_2": "C-102",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654700",
            "telephone_number": "310-456-9332",
            "fax_number": "310-456-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATON",
        "first_name": "GREGORY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT14158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.

Verify at the official NPI Registry.