NPIMap

Organization Active NPI

Beach Kids Therapy Center, Inc.

  • Pediatric Occupational Therapist
  • San Clemente, CA
National Provider Identifier
1760658074
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
6019 Issued in CA
Legal business name
BEACH KIDS THERAPY CENTER, INC.
Practice address
1000 Calle Amanecer
San Clemente, CA 92673-6250
Phone
(949) 498-5100
Fax
(949) 366-5665
NPI assigned
May 6, 2008
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Jamie McCabe
Title
Cfo
Phone
(949) 498-5100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38453 CA
Pediatric Occupational Therapist 225XP0200X 6019 CA Primary
Speech-Language Pathologist 235Z00000X SP17715 CA

Addresses

Primary practice location

1000 Calle Amanecer
San Clemente, CA 92673-6250

Mailing address

1000 Calle Amanecer
San Clemente, CA 92673-6250
Phone (949) 498-5100

National Provider Directory

National Provider Directory

Locations

970 Calle Amanecer
Ste A
San Clemente, CA 92673
Phone (949) 367-0310

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1760658074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CALLE AMANECER",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736250",
            "telephone_number": "949-498-5100",
            "fax_number": "949-366-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CALLE AMANECER",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736250",
            "telephone_number": "949-498-5100",
            "fax_number": "949-366-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH KIDS THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-498-5100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38453",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "6019",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.