Individual provider Active NPI

Robin M. Beauregard, P.T.

  • Specialist
  • Rancho Santa Margarita, CA
National Provider Identifier
1649461377
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT33843 Issued in CA
Practice address
30085 Comercio
Rancho Santa Margarita, CA 92688-2106
Phone
(949) 766-8535
Fax
(949) 766-8540
NPI assigned
Aug 7, 2007
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT33843 CA Primary

Addresses

Primary practice location

30085 Comercio
Rancho Santa Margarita, CA 92688-2106

Mailing address

30085 Comercio
Rancho Santa Margarita, CA 92688-2106
Phone (949) 766-8535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000426 CA Practitioner - Physical Therapist in Private Practice 1355427477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33843CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital of Orange County CurrentSince Feb 14, 2024 Accepting new patients
Prosport Physical Therapy Professionals Inc Specialist PastSince Sep 25, 2015 Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients
Evolve Integrated Wellness and Physical Therapy PC Past Accepting new patients

Locations

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

Dept LA 21333
Pasadena, CA 91185

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1649461377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30085 COMERCIO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882106",
            "telephone_number": "949-766-8535",
            "fax_number": "949-766-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30085 COMERCIO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882106",
            "telephone_number": "949-766-8535",
            "fax_number": "949-766-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUREGARD",
        "first_name": "ROBIN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT33843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.