Xcel Orthopedic & Sports Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 26569 Issued in CA

Legal business name

XCEL ORTHOPEDIC & SPORTS PHYSICAL THERAPY

Practice address

851 E 6TH St
Suite a-4
Beaumont, CA 92223-2340

Phone

(951) 769-8555

Fax

(951) 769-1220

NPI assigned

Oct 2, 2006

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blair Alan Baker, M.P.T.NPI 1962411199

Title

Owner

Phone

(951) 769-8555

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blair A Baker, MPT

  • Physical Therapist
  • Beaumont, CA
  • NPI 1962411199
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1497848287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 6TH ST",
            "address_2": "SUITE A-4",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232340",
            "telephone_number": "951-769-8555",
            "fax_number": "951-769-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 6TH ST",
            "address_2": "SUITE A-4",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232340",
            "telephone_number": "951-769-8555",
            "fax_number": "951-769-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEL ORTHOPEDIC & SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-769-8555",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 26569",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 27975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Wolfkill, PT, DPT
• Ryan Woo, DDS
• Ashley L Wood, RD
• Terry Wayne Woodard, RCP
• Lindsay Wroe, LMFT
• Robert K. Yamada, M.D.
• Quanjian Yan, PA
• Lui Kong Yap, PA-C
• Aaron Yi
• Your Pharmacy, LLC (Beaumont Pharmacy)

• Physical Therapy Clinic/Center in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.