Jeremy Beasley, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32491 Issued in FL

Practice address

13010 Metro Pkwy
Fort Myers, FL 33966-4701

Phone

(239) 561-5616

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fyzbiz, LLC

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
  • NPI 1700248887

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1003342148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 SW 9TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146454",
            "telephone_number": "239-671-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664701",
            "telephone_number": "239-561-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "JEREMY",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BCT Behavioral Consulting LLC
• McKenna Brieann Beach
• Beacon Chiropractic, PLLC
• Jackeria Beard
• Julie Anne Beard, MD
• Samantha Beasley
• Curtis Lee Beauregard, MD.
• Jill Rae Beauregard, PA
• Kayla Ashley Beaute, PSYD
• Beautiful Minds ABA Services LLC

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.