Mr Matthew Jason Beaty, DPT | |
9830 Prospect Ave, Ste A, Santee, CA 92071-4375 | |
(619) 448-4860 | |
(619) 448-1639 |
Full Name | Mr Matthew Jason Beaty |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 9830 Prospect Ave, Santee, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215252671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 36046 (California) | Primary |
Provider Name | Blake Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750350476 PECOS PAC ID: 8729974001 Enrollment ID: O20040224000757 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Jason Beaty, DPT 4820 Lincoln Blvd, Ste C, Marina Del Rey, CA 90292-6917 Ph: (310) 822-0041 | Mr Matthew Jason Beaty, DPT 9830 Prospect Ave, Ste A, Santee, CA 92071-4375 Ph: (619) 448-4860 |
Mr. Rhad Brown, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 619-568-8105 Fax: 619-568-8084 | |
Nicole Loewer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9830 Prospect Ave Ste A, Santee, CA 92071 Phone: 619-448-4860 Fax: 619-448-1639 | |
Ivette C Busacco, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9065 Edgemoor Dr, Santee, CA 92071 Phone: 619-956-2849 Fax: 619-956-2914 | |
Amanda Marie Whalen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 619-568-8105 | |
Josielyn Alcazar-bautista, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9715 Hinsdale St, Santee, CA 92071 Phone: 619-618-8019 | |
Norma Khalife Rouillard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8790 Cuyamaca St, Suite A, Santee, CA 92071 Phone: 619-596-5969 Fax: 619-596-5970 | |
Kaycee Gunion, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9240 Todos Santos Dr, Santee, CA 92071 Phone: 619-415-6954 |