Organization
BEACHSIDE PHYSICAL THERAPY INC
Active
Organization
BEACHSIDE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA LITT (CREDENTIALING COORDINATOR)
(951) 696-9353
Entity
Organization
Contact information
Practice address
4270 MINTON RD, STE 120, WEST MELBOURNE, FL 32904-9578
(321) 984-2933
(321) 953-5379
Mailing address
660 E EAU GALLIE BLVD SUITE 106, INDIAN HARBOUR BEACH, FL 32937-4400
(321) 773-5290
(321) 773-5268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5288
MEDICARE RAILROAD
FL
01
—
Y931E
BC/BS GROUP NUMBER
FL
Enumeration date
05/15/2008
Last updated
04/20/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up