Gale Hazeltine, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT 18370 Issued in CA

Practice address

409 N PCH Hwy # 308
Redondo Beach, CA 90277

Phone

(310) 503-1339

NPI assigned

Aug 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1912307661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N PCH HWY # 308",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772870",
            "telephone_number": "310-503-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N PCH HWY # 308",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-503-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELTINE",
        "first_name": "GALE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-31",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 18370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hawkinson-Gonzalez, OTR/L
• Ellen Yukiko Hayashi, D.D.S.
• Haylee R Duran Licensed Marriage and Family Therapist a Prof Corp
• Monica Lynne Haynes, SLPA
• Larohn Donna Haywood
• Health Care Partners, Inc.
• Health First Physician Assistants Medical Group Inc
• Ivy Autumn Heck, M.A.
• Keiko Collins Hector
• Heidi Smith Chiropractic Inc.

• Orthopedic Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.