Repair Sports Institute

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

REPAIR SPORTS INSTITUTE

Practice address

1500 S Anaheim Blvd
Suite 160
Anaheim, CA 92805-6242

Phone

(714) 377-4314

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Chad S Beauchamp, PT, DPT, SCS,CSCS

Title

Owner

Phone

(951) 699-0303

Specialties & licenses 1

Addresses

Tax ID family

Repair Sports Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Repair Physical Therapy Inc.

  dba Repair Sports Institute

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1437681459
  NPD tax ID
• Repair Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Huntington Beach, CA
  • NPI 1497135255
  NPD tax ID

Locations

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1851844708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16561 BOLSA CHICA ST",
            "address_2": "#107",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493594",
            "telephone_number": "714-377-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S ANAHEIM BLVD",
            "address_2": "SUITE 160",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056242",
            "telephone_number": "714-377-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPAIR SPORTS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-699-0303",
        "authorized_official_credential": "PT, DPT, SCS,CSCS"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Renfro
• Lauren Reniker
• Lowell Carl Renold II, PH.D.
• Sonia Renteria
• Renu Dermatology and Wellness
• Oleg D Repkine
• Cole Reschke, D.C.
• Cynthia Ann Resendez
• Ashley Ruby Resendiz
• Margui Resendiz

• Sports Physical Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.