Repair Sports Institute

LBN: Repair Physical Therapy Inc.
Repair Sports Institute is an health care organization with primary practice located at 20311 Sw Birch St Ste 150 , Newport Beach CA 92660-1779. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Repair Physical Therapy Inc. can be contacted via phone (949) 272-1030, or through Beauchamp, Chad via phone (310) 721-1082.

Contact Information

Primary practice address
20311 Sw Birch St Ste 150 Newport Beach CA 92660-1779
Phone: (949) 272-1030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beauchamp, Chad
Phone: (310) 721-1082

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 38002 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 38002 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 38002 California

Profile Details

NPI number 1437681459
LBN Legal business name Repair Physical Therapy Inc.
DBA Doing business as Repair Sports Institute
Authorized official Beauchamp, Chad
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 29th, 2017
Last updated Mar 29th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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