Beach Family Physical Therapy

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4551 Issued in CA

Legal business name

BEACH FAMILY PHYSICAL THERAPY

Doing business as

Beach Family Physical Therapy

Practice address

17610 Beach Blvd
Huntington Beach, CA 92647-6855

Phone

(714) 580-2778

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 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

Michael Anthony McCormick, NMT

Title

Cfo

Phone

(714) 580-2778

Specialties & licenses 2

Addresses

Other names 1

• Beach Family Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1629580188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 DELPHI CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17610 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476855",
            "telephone_number": "714-580-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH FAMILY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-580-2778",
        "authorized_official_credential": "NMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "4551",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "4551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Family Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Beach Family Doctors Medical Group
• Beach Family Doctors Medical Group
• Beach House Retreat
• Beach Kids Dentistry-Nguyen PC (Beach Kids Dentistry)
• Beach Obstetrics & Gynecology Medical Group a Medical Corporation
• Beach Physicians Medical Group Inc
• Beach Point Physical Therapy

• Massage Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.