Lincoln Beal

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

300475 Issued in CA

Practice address

11500 W Olympic Blvd Ste 415
Los Angeles, CA 90064-1536

Phone

(424) 225-1845

Fax

(310) 933-4803

NPI assigned

Jun 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Re Active Physical Therapy and WellnessGroup PAC ID 4183872740, 14 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 and National Provider Directory roles.

• Re Active Physical Therapy and Wellness

  • Neurology Physical Therapist
  • Los Angeles, CA
  • NPI 1952650475
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1811565575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641536",
            "telephone_number": "424-225-1845",
            "fax_number": "310-933-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641536",
            "telephone_number": "424-225-1845",
            "fax_number": "310-933-4803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3848 W Carson St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905036704",
            "country_code": "US",
            "telephone_number": "424-488-3191",
            "fax_number": "310-933-4803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAL",
        "first_name": "LINCOLN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "211459",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "300475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "webpt",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11500 W Olympic Blvd Ste 415",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900641536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter Yonger Salam Beah, MD
• Omer E Beaird, MD
• Michelle Beakey
• Chantiste Beal, D.M.D.
• Keri Beal
• Michael Alexander Beal, MD
• Patricia Ann Beal, LMFT
• Elizabeth Ogden Beale
• Gardner Leonard Beale, DDS
• Jessica Beale, PSY.D.

• Neurology Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurology Physical Therapist in California

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