LONG BEACH PHYSICAL THERAPY, LLC (NPI# 1275621369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275621369 |
| Entity Type | Organization |
| Organization Name | LONG BEACH PHYSICAL THERAPY, LLC |
| Practice Address |
5132 Beatline Rd Suite D Long Beach MS 39560-3869 |
| Practice Telephone | 2288678882 |
| Practice Fax Number | 2288678810 |
| Mailing Telephone | 2288678882 |
| Mailing Fax Number | 2288678810 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ELIZABETH Z BOZLEE (OWNER) |
| Authorized Official Telephone | 2288678882 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT1109 | MS | Ambulatory Health Care Facilities |
| Street Address |
5132 BEATLINE RD SUITE D |
| City | LONG BEACH |
| State | MS |
| Zip Code | 39560-3869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326098252 | Raymond A Belisle | Physical Therapist | 5132 Beatline Rd, Suite D, Long Beach, MS 39560-3869 | 2006-05-11 |
| 1083052898 | Jennifer L Ladner | Specialist/Technologist | 5132 Beatline Rd, Suite D, Long Beach, MS 39560-3869 | 2013-06-13 |
| 1700195286 | Encore Rehabilitation, Inc. | Clinic/Center | 5132 Beatline Rd, Suite D, Long Beach, MS 39560-3869 | 2010-09-30 |
| 1609973866 | Jane Waldrop | Physical Therapist | 5132 Beatline Rd, Suite D, Long Beach, MS 39560-3869 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
| 1760889554 | Laura Catherine Ranson | Physical Therapist | 2 Tower Plaz, Suite B, Community Rehab Center, Long Beach, MS 39560 | 2014-11-24 |
| 1073803714 | Kathleen Ann Williams | Pharmacist | Riteaid #7227 Pharmacy 200 West Railroad St, Suite B, Long Beach, MS 39560 | 2011-04-14 |
| 1609177179 | Robert William Wylie | Hearing Instrument Specialist | 100 Larosa Rd, Ste D, Long Beach, MS 39560 | 2010-11-15 |
| 1891026498 | James Paul Bertinato | Speech-Language Pathologist | 20337 Longview Rd, Long Beach, MS 39560 | 2010-01-21 |
| 1639317274 | Robert A Wiemer Jr. | Pain Medicine | 528-f Klondike Road, Long Beach, MS 39560 | 2009-02-03 |
| 1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
| 1952589863 | Miller-whitmer Family Chiropractic | Chiropractor | 125 Jeff Davis Avenue, Long Beach, MS 39560 | 2008-02-01 |
| 1528267333 | Rachel S Conrad Md PC | Family Medicine | 100a Larosa, Long Beach, MS 39560 | 2007-07-12 |
| 1386720241 | Betty Diane Edrington | Registered Nurse | 2 Tower Plaza, Pineville Road, Long Beach, MS 39560 | 2006-10-31 |
| Find all providers in zip 39560 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841507993 | Lisa Nathanson, P.t. P.C. | Clinic/Center | 659 Shore Rd, 7b, Long Beach, NY 11561-4681 | 2010-09-10 |
| 1235313230 | C.a.r.e. Evaluators, LLC | Clinic/Center | 111 W Victoria St, Long Beach, CA 90805-2162 | 2007-12-27 |
| 1871716506 | Family Physical Therapy of South Ms | Clinic/Center | 19020 Pineville Rd, Suite 4, Long Beach, MS 39560-4564 | 2007-04-11 |
| 1205931482 | Advanced Orthopedic Physical Therapy | Clinic/Center | 4510 Pacific Coast Highway, Suite 305, Long Beach, CA 90804 | 2006-09-13 |
| 1902840721 | Matrix Rehabilitation, Inc. | Clinic/Center | 2401 E Wardlow Rd, M/c Co54-0405, Long Beach, CA 90807-5309 | 2006-06-15 |
| 1043833346 | Recharge Physical Therapy, Inc | Clinic/Center | 1777 N Bellflower Blvd Ste 205, Long Beach, CA 90815-4020 | 2020-05-20 |
| 1215396627 | Physical Therapy Fitness Team, Inc | Clinic/Center | 3535 E 7th St, Long Beach, CA 90804-5138 | 2016-02-12 |
| 1134521461 | Peak Physical Therapy and Wellness PC | Clinic/Center | 2713 Hackett Ave, Long Beach, CA 90815-1547 | 2014-09-18 |
| 1700195286 | Encore Rehabilitation, Inc. | Clinic/Center | 5132 Beatline Rd, Suite D, Long Beach, MS 39560-3869 | 2010-09-30 |
| 1740427673 | Parisa Refaat Physical Therapy Inc. | Clinic/Center | 4028 E Broadway, Long Beach, CA 90803-1502 | 2009-01-14 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 39560 |
Please comment or provide details below to improve the information on LONG BEACH PHYSICAL THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.