Individual provider Active NPI

Beth Ann S Fausto, MS, PT

  • Physical Therapist
  • Murrysville, PA
National Provider Identifier
1013164516
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007851L Issued in PA
Practice address
4204 Summervale CT
Murrysville, PA 15668-3514
Phone
(724) 858-0768
Fax
(724) 733-0768
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007851L PA Primary

Addresses

Primary practice location

4204 Summervale CT
Murrysville, PA 15668-3514

Mailing address

4204 Summervale CT
Murrysville, PA 15668-3514
Phone (724) 858-0768

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT007851LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1013164516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 SUMMERVALE CT",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156683514",
            "telephone_number": "724-858-0768",
            "fax_number": "724-733-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 SUMMERVALE CT",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156683514",
            "telephone_number": "724-858-0768",
            "fax_number": "724-733-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSTO",
        "first_name": "BETH ANN",
        "middle_name": "S",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007851L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.