Individual provider Active NPI

Betina Bishop Bain, P.T.

  • Orthopedic Physical Therapist
  • Long Beach, CA
National Provider Identifier
1295072064
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19785 Issued in CA
Practice address
6695 E Pacific Coast Hwy
Suite 100
Long Beach, CA 90803-4235
Phone
(562) 596-7074
Fax
(562) 596-7214
NPI assigned
Jan 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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 19785 CA Primary

Addresses

Primary practice location

6695 E Pacific Coast Hwy
Suite 100
Long Beach, CA 90803-4235

Mailing address

6695 E Pacific Coast Hwy
Suite 100
Long Beach, CA 90803-4235
Phone (562) 596-7074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130318000373 CA Practitioner - Physical Therapist in Private Practice 2466697602 Reassigns benefits to 1 organization
I20250804000305 CO Practitioner - Physical Therapist in Private Practice 2466697602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Alta Physical Therapy PCGroup PAC ID 0547253957, 7 clinicians

Practice addresses (Care Compare)

2955 Baseline Rd
Boulder, CO 80303-2356

3825 Iris Ave
Suite 300
Boulder, CO 80301-2070
Phone (303) 444-8707

3825 Iris Avenue
Suite 300
Boulder, CO 80301-2070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Physical Therapy PC CurrentSince Jun 30, 2025 Accepting new patients
Movement Works Physical Therapy Inc Physical Therapist CurrentSince Feb 20, 2013 Accepting new patients

Locations

6695 E Pacific Coast Hwy
Ste 100
Long Beach, CA 90803
Phone (562) 596-7074

3825 Iris Ave
Ste 300
Boulder, CO 80301
Phone (303) 449-7284

2955 Baseline Rd
Boulder, CO 80303
Phone (303) 444-8707

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": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1295072064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034235",
            "telephone_number": "562-596-7074",
            "fax_number": "562-596-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034235",
            "telephone_number": "562-596-7074",
            "fax_number": "562-596-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "BETINA",
        "middle_name": "BISHOP",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "19785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.