Organization Active NPI

RX Personal Training Inc.

Doing business as Coastherapy

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1609811454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RX PERSONAL TRAINING INC.
Doing business as
Coastherapy
Practice address
21501 Brookhurst St
Huntington Beach, CA 92646-8080
Phone
(714) 963-7712
Fax
(714) 965-0682
NPI assigned
Jun 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stacy M Bevington
Title
Contract Manager
Phone
(714) 963-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

21501 Brookhurst St
Huntington Beach, CA 92646-8080

Mailing address

21501 Brookhurst St
Huntington Beach, CA 92646-8080
Phone (714) 963-7712

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ47878ZOtherCABLUE SHIELD

Other names 1

  • Coastherapy Doing business as

National Provider Directory

National Provider Directory

Locations

21501 Brookhurst St
Huntington Beach, CA 92646
Phone (714) 963-7712

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609811454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 BROOKHURST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468080",
            "telephone_number": "714-963-7712",
            "fax_number": "714-965-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 BROOKHURST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468080",
            "telephone_number": "714-963-7712",
            "fax_number": "714-965-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX PERSONAL TRAINING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEVINGTON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "714-963-7712"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ47878Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.