Gina Marie Calderone, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27424 Issued in CA

Practice address

4918 E 2ND St
Long Beach, CA 90803-5318

Phone

(562) 438-1176

Fax

(562) 438-8470

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gina Marie Betancourt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Betancourt Physical Therapy

  • Physical Therapist
  • Long Beach, CA
  • NPI 1518241561
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1336352863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 XIMENO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031657",
            "telephone_number": "562-882-0564",
            "fax_number": "562-438-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 E 2ND ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035318",
            "telephone_number": "562-438-1176",
            "fax_number": "562-438-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERONE",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BETANCOURT",
            "middle_name": "MARIE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mayra F. Calatayud-Garcia, LCSW
• Carlos L Calderon, MD
• Damaris Calderon
• Juan Carlos Calderon
• Juan Carlos Calderon
• Helen Caldwell, LCSW
• Quinn Lorraine Caldwell, AA
• Cassandra Cale
• Jacqueline Calhoun, LCSW
• Rhonda Calhoun

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.