Gold Coast Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

33412 Issued in CA

Legal business name

GOLD COAST PHYSICAL THERAPY INC

Practice address

3111 Villa Way
Newport Beach, CA 92663-3823

Phone

(949) 673-1662

Fax

(949) 673-1667

NPI assigned

Jun 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Katie Jean Fitzpatrick, DPTNPI 1437288024

Title

President

Phone

(949) 673-1662

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Jean Fitzpatrick, DPT

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1437288024
  Authorized official Same address or phone

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371945600000",
    "number": "1598104580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 VILLA WAY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633823",
            "telephone_number": "949-673-1662",
            "fax_number": "949-673-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 VILLA WAY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633823",
            "telephone_number": "949-673-1662",
            "fax_number": "949-673-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2013-06-23",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-673-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "33412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Alan Godden
• Tessa Godelman
• Kristen Elizabeth Goff
• Yasmine Gohar
• Gold Coast Orthopedic & Spine Inc
• Alaina Gold, PHD
• Liviu Gold, DDS
• Jane Goldberg, JANE GOLDBERG
• Golden Age Care Group LLC
• Golden Age Companions, LLC

• Physical Therapy Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; 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.