Active NPI
Gregory S Beaton, P.T.
- Orthopedic Physical Therapist
- Malibu, CA
National Provider Identifier
1184790685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT14158
- 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, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14158 | CA | MD | Acupuncturist |
| PT14158 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaton Orthopedic Physical Therapy-Malibu Rehabilitation Center | Orthopedic | Current | 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.
-
- Orthopedic Physical Therapist
- Malibu, CA
- NPI 1144396664
-
- Rehabilitation Hospital Unit
- Malibu, CA
- NPI 1770892325
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
- Ashley R Bateman, M.D.
- Scott French Bateman, MD
- Beachstep Investments, LLC (Avalon Malibu)
- Beaton Orthopedic Physical Therapy
- Beaton Orthopedic Physical Therapy-Malibu Rehabilitation Center
- Farah Bedair, PHARMD
- Behavioral Health Solutions of Malibu, LLC (Broad Beach Retreat)
- Bella la Vita Company (Journey Malibu)
- Lisa Marie Benya, D.O.
- Michael Beychok, PSY.D(CANDIDATE
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.