Glen V Beato, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28282 Issued in CA

Practice address

181 Jamacha Road
El Cajon, CA 92019-0000

Phone

(619) 447-7774

Fax

(619) 447-7779

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Physical Therapy & Sports Medicine Inc

  • Physical Therapy Clinic/Center
  • Carlsbad, CA
  • NPI 1285729509

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Elnel, Inc. a California Corporation Total Physical Therapy

  • Physical Therapy Clinic/Center
  • Chula Vista, CA
  • NPI 1386681732

  Physical Therapist

  Medicare reassignment NPD
• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  CA

  Medicare reassignment NPD
• JC Chiropractic, P.C.

  • Chiropractor
  • Chula Vista, CA
  • NPI 1083110274
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265557334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROADWAY STE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103502",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 JAMACHA ROAD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920190000",
            "telephone_number": "619-447-7774",
            "fax_number": "619-447-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Broadway Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919103502",
            "country_code": "US",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2417 Fenton St Ste A",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919143517",
            "country_code": "US",
            "telephone_number": "619-591-7000",
            "fax_number": "619-591-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATO",
        "first_name": "GLEN",
        "middle_name": "V",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabell Bazzi, MFT
• Samaa Bazzi
• Sandra Beal
• Delane Yvonne Beaner
• Melissa Beas
• Michelle Beattie
• Lisa Beaty
• Paul James Beauparlant, MFT
• Gerardo Vincente Becerra-Agostino
• Yandery Becerra

• Physical Therapist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.