Julia Nicole Beausoleil, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05539 Issued in KS

Practice address

6640 Johnson Dr
Mission, KS 66202-2617

Phone

(913) 384-5810

Fax

(913) 384-0719

NPI assigned

Mar 24, 2017

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Female

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

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.

• Minds Matter, LLC

  • Occupational Therapist
  • Mission, KS
  • NPI 1679617955
  NPD

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1023549797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022617",
            "telephone_number": "913-384-5810",
            "fax_number": "913-384-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUSOLEIL",
        "first_name": "JULIA",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rimki Barua
• Andrea Baskfield-Mathis
• Dylan Bastian
• Connor Bayless, PHARMD
• Victory Beard
• Jennifer Beaven, LSCSW
• Behavioral Health Associates, LLC
• Amanda Belmont, PHARMD
• Shannon Bennett, LCPC
• Treva Susan Berber, LSCSW

• Physical Therapist in Mission, KS
• Providers in Mission, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.