Beau Dupuis, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501301855 Issued in MI

Practice address

25680 Copper King Way
Calumet, MI 49913-2558

Phone

(906) 337-7000

NPI assigned

May 18, 2022

Last updated

May 18, 2022By the provider in NPPES

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Central Michigan College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus KeweenawGroup PAC ID 8123912011, 116 clinicians

Practice addresses (Care Compare)

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.

• Aspirus Keweenaw

  dba Aspirus Laurium Clinic

  • Rural Health Clinic/Center
  • Laurium, MI
  • NPI 1205998713
  Medicare reassignment Care Compare group NPD
• Aspirus Keweenaw

  dba Aspirus Ontonagon Clinic

  • Rural Health Clinic/Center
  • Ontonagon, MI
  • NPI 1023161932
  NPD
• Aspirus Keweenaw

  dba Aspirus Keweenaw Outpatient Therapies

  • Occupational Therapist
  • Houghton, MI
  • NPI 1205164555

  Physical Therapist

  NPD
• Aspirus Keweenaw

  dba Aspirus Keweenaw Hospital

  • Critical Access Hospital
  • Laurium, MI
  • NPI 1326115569
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1053058347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48559 BOOTJACK RD",
            "city": "LAKE LINDEN",
            "state": "MI",
            "postal_code": "499459791",
            "telephone_number": "906-934-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25680 COPPER KING WAY",
            "city": "CALUMET",
            "state": "MI",
            "postal_code": "499132558",
            "telephone_number": "906-337-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Houghton",
            "state": "MI",
            "postal_code": "499311978",
            "country_code": "US",
            "telephone_number": "906-487-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "BEAU",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Collaer, DDS
• Copper Country Community Mental Health Services
• Julie Ann Curtis, CHW
• Jordan Nicole Demartelaere
• Susan Elizabeth Donnelly, PH.D., LP
• Brynn Ecklund-Walker, PMHNP-BC
• Encompass Wellness Studio LLC
• Bradley Michael Erkkila, DC
• Michael Arthur Gaunt
• Marcus Gloss, DP-CADC

• Physical Therapist in Calumet, MI
• Providers in Calumet, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.