Active NPI
Betina Bishop Bain, P.T.
- Orthopedic Physical Therapist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 19785
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Physical Therapy PC | Current | Accepting new patients | |
| Movement Works Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Specialist
- Boulder, CO
- NPI 1578675120
-
- Physical Therapist
- Long Beach, CA
- NPI 1437179272
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.