Chad Stephen Beauchamp, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38002 Issued in CA

Practice address

7146 Edinger Ave
Huntington Beach, CA 92647-3568

Phone

(714) 377-4314

Fax

(714) 377-4311

NPI assigned

Aug 25, 2011

Last updated

Apr 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Southern California Keck School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Repair NB Physical Therapy CorpGroup PAC ID 2860732922, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Repair NB Physical Therapy, Corp

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1134622111
  Medicare reassignment Care Compare group NPD Authorized official
• Repair Physical Therapy Inc.

  dba Repair Sports Institute

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1437681459
  Authorized official Same address or phone
• Repair Sports Institute

  • Sports Physical Therapist
  • Anaheim, CA
  • NPI 1851844708
  Authorized official Same address or phone
• Prosport Physical Therapy Professionals Inc

  • Specialist
  • Costa Mesa, CA
  • NPI 1649223694

  Physical Therapist

  NPD

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1639459480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1122",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545011122",
            "telephone_number": "714-377-4314",
            "fax_number": "714-377-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7146 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473568",
            "telephone_number": "714-377-4314",
            "fax_number": "714-377-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "CHAD",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38002",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "013400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beachview Treatment, LLC
• Beachview Treatment, LLC
• Melanie C Bean, M.S.P.T., A.T.C.
• Beanca Chu, DDS, a Professional Corporation
• Heather Jane Beaton
• Maritza Becerra
• Carol Beck, LCSW
• Jessica Sue Beck
• Breanna Beckett
• Beehaven Health

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.