Shore2Sky Physical Therapy Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

38002 Issued in CA

Legal business name

SHORE2SKY PHYSICAL THERAPY INC.

Practice address

5267 Warner Ave # 195
Huntington Beach, CA 92649-4079

Phone

(714) 377-4311

NPI assigned

Mar 22, 2016

Last updated

Feb 14, 2017By 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

Dr. Chad Stephen Beauchamp, DPT

Title

Owner

Phone

(714) 377-4311

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1588026371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5267 WARNER AVE # 195",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494079",
            "telephone_number": "714-377-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5267 WARNER AVE # 195",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494079",
            "telephone_number": "714-377-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE2SKY PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-377-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "38002",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "38002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hope Elizabeth Sarah Shiroishi, NP
• Shore Path Speech Therapy
• Noureldin Hussein Shoreibah, DDS
• Shoreline Ambulance Company, LLC
• Shoreline Ambulance Inc
• Shoreline Physical Therapy, Inc.
• Megan Short

• Orthopedic Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.