Active NPI
Mountain to Sea Physical Therapy Inc
- Physical Therapy Clinic/Center
- Manhattan Beach, CA
National Provider Identifier
1508315318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 38261
- Legal business name
- MOUNTAIN TO SEA PHYSICAL THERAPY INC
- Practice address
- 3212 Highland Ave
Manhattan Beach, CA 90266-3888 - Phone
- (310) 567-2293
- Fax
- (310) 919-0447
- NPI assigned
- Sep 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Heidi Lynn Gastler, DPT
- Title
- President
- Phone
- (310) 567-2293
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 38261 | CA | Primary |
Addresses
Primary practice location
3212 Highland Ave
Manhattan Beach, CA 90266-3888
Mailing address
3212 Highland Ave
Manhattan Beach, CA 90266-3888
Phone (310) 567-2293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3217 Highland Ave
Manhattan Beach, CA 90266
Phone (310) 200-5995
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Manhattan Beach, CA
- NPI 1023061470
-
- Physical Therapist
- Torrance, CA
- NPI 1497234033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1508315318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 HIGHLAND AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663888",
"telephone_number": "310-567-2293",
"fax_number": "310-919-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 HIGHLAND AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663888",
"telephone_number": "310-567-2293",
"fax_number": "310-919-0447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN TO SEA PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-22",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "GASTLER",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-567-2293",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "38261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.