Individual provider Active NPI

Robert Stephen Beigle

  • Orthopedic Physical Therapist
  • Petoskey, MI
National Provider Identifier
1063463271
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501011030 Issued in MI
Practice address
446 E Mitchell St Ste 3
Petoskey, MI 49770-4604
Phone
(231) 622-2524
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

446 E Mitchell St
Suite 3
Petoskey, MI 49770-4604
Phone (231) 622-2524

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
94.34
Improvement activities
40
Cost
77.4

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060519000045 MI Practitioner - Physical Therapist in Private Practice 0345251773 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501011030MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Physical Therapy and Athletic Rehabilitation Inc. Single Specialty CurrentSince May 1, 2006 Accepting new patients
Reactive Physical Therapy and Wellness Single Specialty CurrentSince May 19, 2024 Accepting new patients

Locations

446 E Mitchell St
Ste 3
Petoskey, MI 49770
Phone (231) 622-2524

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 5501011030 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

446 E Mitchell St Ste 3
Petoskey, MI 49770-4604

Mailing address

3693 Pickerel Lake Rd
Petoskey, MI 49770-9326
Phone (231) 347-2189

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2024.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1063463271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3693 PICKEREL LAKE RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709326",
            "telephone_number": "231-347-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 E MITCHELL ST STE 3",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497704604",
            "telephone_number": "231-622-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIGLE",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501011030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.