Michael Beatty, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA54899 Issued in CA

Practice address

3145 Rosecrans St Ste F
San Diego, CA 92110-4831

Phone

(619) 223-7175

Fax

(619) 223-7030

NPI assigned

Jul 27, 2026

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1205758810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 ROSECRANS ST STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104831",
            "telephone_number": "619-223-7175",
            "fax_number": "619-223-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA54899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen P Beaton, PT
• Dory K Beatrice, LCSW
• Nathan Beatson
• Susan J Beattie, PHD
• Beatty Chiropractic, Inc. (Gonstead Family Chiropractic)
• Parker Beatty, DO
• Zach Beatty, D.C
• Gregg W. Beaty, D.D.S.
• Henry Joshua Sterling Beaty, IDC L10A
• Rachel Beaubier, RN, PHN, IBCLC

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.