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General NPI Number Information
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NPI Number | 1760540371
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Entity Type | Organization
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Legal Business Name | BEACH PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 138 MONTAUK HWY
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City | EAST MORICHES
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State | NY
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Zip | 11940-1172
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Country | US
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Telephone | 631-874-6860
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Fax | 631-874-6861
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Provider Business Mailing Address
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Address Line | 43 SOUTH ST P.O. BOX 626
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City | MANORVILLE
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State | NY
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Zip | 11949-8501
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Country | US
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Telephone | 631-874-6860
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Fax | 631-874-6861
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREGORY JAMES BEACH
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Credential | P.T.
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Telephone | 631-874-6860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 021777
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License Number State | NY
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