Individual provider Active NPI

Christa L Harris, P.T.

  • Orthopedic Physical Therapist
  • Malibu, CA
National Provider Identifier
1184790693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT14525 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
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT14525 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
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT14525CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaton Orthopedic Physical Therapy-Malibu Rehabilitation Center Orthopedic PastSince Jun 1, 2000 Accepting new patients
Beaton Orthopedic Physical Therapy Orthopedic PastSince Sep 30, 2010 Accepting new patients

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 and National Provider Directory roles.

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": "1183852800000",
    "number": "1184790693",
    "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": "HARRIS",
        "first_name": "CHRISTA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT14525",
            "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 Jul 8, 2007; 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.