Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dustin Thomas Gonzaga-Beaver, OTR/L

Individual provider Occupational Therapist · NPI 1164124962

Dustin Thomas Gonzaga-Beaver, OTR/L is an Occupational Therapist in Private Practice in Torrance, California. Qualified in 2022, 4 years ago. Practices with Atlantis Physical Therapy Assoc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2601 Airport Dr Ste 115
Torrance, CA 90505-6133
Phone: (310) 325-7404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 24722 (CA)

Record details

NPI number1164124962
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Atlantis Physical Therapy Assoc. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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