Organization Active NPI

South Coast Therpy, Inc

  • Physical Therapist
  • Trabuco Canyon, CA
National Provider Identifier
1801923149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CA#PT11759 Issued in CA
Legal business name
SOUTH COAST THERPY, INC
Practice address
28715 Vista Santiago Rd
Trabuco Canyon, CA 92679-1105
Phone
(949) 589-1405
NPI assigned
Feb 27, 2007
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
Lauern Miller Beeler, PT, PCS
Title
Officer
Phone
(949) 589-1405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CA#PT11759 CA Primary

Addresses

Primary practice location

28715 Vista Santiago Rd
Trabuco Canyon, CA 92679-1105

Mailing address

28715 Vista Santiago Rd
Trabuco Canyon, CA 92679-1105
Phone (949) 589-1405

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801923149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28715 VISTA SANTIAGO RD",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791105",
            "telephone_number": "949-589-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28715 VISTA SANTIAGO RD",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791105",
            "telephone_number": "949-589-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST THERPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEELER",
        "authorized_official_first_name": "LAUERN",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "949-589-1405",
        "authorized_official_credential": "PT, PCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "CA#PT11759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trabuco Canyon, 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.