BEACH WELLNESS PHYSICAL THERAPY, LLC
NPI 1396523585
Clinic/Center - Physical Therapy in Long Beach, NY

Active since September 19, 2023
522 W BEECH ST, LONG BEACH, NY 11561(516) 330-9213 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beach Wellness Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACH WELLNESS PHYSICAL THERAPY, LLC (NPI 1396523585) is a healthcare organization registered as a physical therapy in Long Beach, New York and active in the NPI registry since September 2023. The organization lists Lacey Cavallo, Owner, as its authorized official.

NPPES Registry Identity

NPI1396523585
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameBEACH WELLNESS PHYSICAL THERAPY, LLC
Location Address522 W BEECH STLong Beach, NY 11561-3010
Mailing Address522 W Beech StLong Beach, NY 11561-3010 · (516) 330-9213
Organization SubpartNo
Authorized OfficialLacey CavalloOwner · (516) 330-9213
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1396523585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
522 W BEECH ST, Long Beach, NY 11561

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beach Wellness Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Beach Wellness Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1497281836
464 GRAND BLVD
Long Beach, NY 11561
(516) 330-9213
✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1578694279
196 BIRCH HILL RD
Locust Valley, NY 11560
(516) 759-9717
✔ Accepts Medicare20 mi
Physical Therapist in Private Practice
NPI 1619417151
30 BROAD ST
New York, NY 10004
(646) 790-7454
21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beach Wellness Physical Therapy, LLC's NPI number?

The NPI number for Beach Wellness Physical Therapy, LLC is 1396523585. It was assigned to this organization in the NPPES registry on September 19, 2023.

Where is Beach Wellness Physical Therapy, LLC located?

Beach Wellness Physical Therapy, LLC is located at 522 W Beech St, Long Beach, NY 11561. The listed phone number is (516) 330-9213.

What is Beach Wellness Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Beach Wellness Physical Therapy, LLC enrolled in Medicare?

Yes. Beach Wellness Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beach Wellness Physical Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Beach Wellness Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beach Wellness Physical Therapy, LLC was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.