Organization Active NPI

Mountain to Sea Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Manhattan Beach, CA
National Provider Identifier
1508315318
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
38261 Issued in CA
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

Updated by the provider on May 19, 2020

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

Authorized official

Name
Dr. Heidi Lynn Gastler, DPTNPI 1023061470
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20161222000934 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224319603 Receives reassigned benefits from 2 practitioners
Practice locations: Manhattan Beach, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.