Organization Active NPI

Betancourt Physical Therapy

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1518241561
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27424 Issued in CA
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

Updated by the provider on Oct 7, 2011

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PT 27424OtherCALICENSE

Other names 1

  • Centripetal Force studio Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.