Beacon Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

41675 Issued in CA

Legal business name

BEACON PHYSICAL THERAPY, INC

Practice address

22 Battery St
Suite 802
San Francisco, CA 94111-5505

Phone

(415) 772-0997

Fax

(415) 772-0997

NPI assigned

Apr 6, 2015

Last updated

Jan 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Wesley King, DPT, FFMT, FAAOMPT

Title

Owner

Phone

(415) 772-0997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1205221256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BATTERY ST",
            "address_2": "SUITE 802",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115505",
            "telephone_number": "415-772-0997",
            "fax_number": "415-772-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BATTERY ST",
            "address_2": "SUITE 802",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115505",
            "telephone_number": "415-772-0997",
            "fax_number": "415-772-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-772-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, FFMT, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "41675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be Great Supports LLC
• Be Technologies Inc (MenHealth)
• Leila Yeh Beach
• Lynn Catherine Beach, RN, FNP
• Jennifer Beachey, M.D.
• Alexander Beagle
• John Beahan, PSYD
• Lenise Jewel Beal
• Richard Bernard Beal
• Kellie Beals

• Physical Therapy Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.