Noel Georgette Beauchesne, PTA
Individual provider Active NPI Physical Therapy Assistant · Loxahatchee, FL
NPI 1073712972 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1073712972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA19611 (FL)
- Practice address
- 17185 72ND Rd N
Loxahatchee, FL 33470-3072 - Phone
- (561) 723-5450
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA19611 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noel G Beauchesne Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA19611 | FL | Yes |
Addresses
Primary practice location
17185 72ND Rd N
Loxahatchee, FL 33470-3072
Mailing address
17185 72ND Rd N
Loxahatchee, FL 33470-3072
Phone (561) 723-5450
Other providers in Loxahatchee, FL
- Boris Balson
- Brent Wayne Bandhan
- John Lee Bankston III
- Ankush Kumar Bansal
- Juan Ricardo Barron
- Elsie P Belfort
- Ada Sofia Bello
- Napoleon Gustavo Bequer
- Adam Kenneth Berry
- Brendan Beswilan
All providers in Loxahatchee, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.