Active NPI
Betancourt Physical Therapy
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1518241561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27424
- Legal business name
- BETANCOURT PHYSICAL THERAPY
- Doing business as
- Centripetal Force studio
- Practice address
- 4918 E 2ND St
Long Beach, CA 90803-5318 - Phone
- (562) 438-1176
- NPI assigned
- Oct 7, 2011
- 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
- Gina Betancourt, PT
- Title
- Owner
- Phone
- (562) 882-0564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27424 | CA | Primary |
Addresses
Primary practice location
4918 E 2ND St
Long Beach, CA 90803-5318
Mailing address
273 Ximeno Ave
Long Beach, CA 90803-1657
Phone (562) 882-0564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 27424 | Other | CA | LICENSE |
Other names 1
- Centripetal Force studio
National Provider Directory
National Provider DirectoryPractitioners & 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
- Long Beach, CA
- NPI 1336352863
-
- Acupuncturist
- Long Beach, CA
- NPI 1538578869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317945600000",
"number": "1518241561",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETANCOURT PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-07",
"last_updated": "2011-10-07",
"status": "A",
"authorized_official_last_name": "BETANCOURT",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-882-0564",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "27424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT 27424",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Centripetal Force studio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.