=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801783915
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAMABPT, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/20/2025
-----------------------------------------------------
Last Update Date | 07/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23548 LYONS AVE STE B
-----------------------------------------------------
City | NEWHALL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91321-5782
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-383-2296
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20731 W LIANA CT
-----------------------------------------------------
City | PORTER RANCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91326-4997
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAL THERAPIST
-----------------------------------------------------
Name | DR. JOY BEGGS
-----------------------------------------------------
Credential | DPT, PT
-----------------------------------------------------
Telephone | 661-383-2296
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------