Active NPI
Gary Ray Beatty, AT,C
- Athletic Trainer
- Franklin, TN
National Provider Identifier
1013099613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 369
- Practice address
- 211 Bedford Way
Star Pyhsical Therepy
Franklin, TN 37064 - Phone
- (615) 591-8480
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 369 | TN | Primary |
Addresses
Primary practice location
211 Bedford Way
Star Pyhsical Therepy
Franklin, TN 37064
Mailing address
650 Watson Branch Dr
Franklin, TN 37064-5130
Phone (615) 790-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 369 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Physical Therapy LP | Past | Accepting new patients | |
| Guardian Home Care of Nashville, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AccentCare Home Health of Nashville
- Home Health Agency
- Franklin, TN
- NPI 1134150337
-
- Physical Therapist
- Caruthersville, MO
- NPI 1073375861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013099613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 WATSON BRANCH DR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370645130",
"telephone_number": "615-790-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 BEDFORD WAY",
"address_2": "STAR PYHSICAL THEREPY",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "37064",
"telephone_number": "615-591-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "GARY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "AT,C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.