Carly Beukman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0016814 Issued in CO

Practice address

7941 Beach Blvd Ste J
Buena Park, CA 90620-1900

Phone

(714) 736-6855

NPI assigned

Sep 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  NPD
• Coal Creek Diagnostics, LLC

  • Diagnostic Ultrasound Physician
  • Louisville, CO
  • NPI 1366941171
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1417325903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7941 BEACH BLVD STE J",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201900",
            "telephone_number": "714-736-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7941 BEACH BLVD STE J",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201900",
            "telephone_number": "714-736-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7233 Church Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800214094",
            "country_code": "US",
            "telephone_number": "303-925-4137",
            "fax_number": "303-925-4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEUKMAN",
        "first_name": "CARLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42788",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Susan Bennett, RN, BSN, PHN,
• Erika Francisca Bermudez Tello, AMFT
• Bestcare & Pharmacy
• Bestcare Pharmacy Inc
• Better Sleeping Medical Center, Inc.
• Bhac, LLC
• Anisha B Bhakta, DMD
• Arpita Bhavsar
• Big Little Voices
• Binh T. Bui, DDS, Inc.

• Physical Therapist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.