Kelly Christine Beasley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012550 Issued in OH

Practice address

3060 Dayton Xenia Rd Ste C
Beavercreek, OH 45434-6393

Phone

(937) 427-2225

Fax

(937) 405-1078

NPI assigned

Sep 14, 2010

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Medical and Wellness Center, Inc.Group PAC ID 0547536187, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles (3 of 5)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Advanced Medical & Wellness Center, Inc.

  • General Practice Physician
  • Beavercreek, OH
  • NPI 1598281057

  OH

  Medicare reassignment Care Compare group NPD
• Gulf Breeze Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1730183153

  Physical Therapist

  NPD (past)
• Rehabclinics SPT Inc

  • Physical Therapist
  • Eldersburg, MD
  • NPI 1164427092
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1073821997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLD SPRINGS CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669421",
            "telephone_number": "937-361-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 DAYTON XENIA RD STE C",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346393",
            "telephone_number": "937-427-2225",
            "fax_number": "937-405-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Conover Dr",
            "address_2": "Suite H",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "OH",
            "postal_code": "450051900",
            "country_code": "US",
            "telephone_number": "937-746-8795",
            "fax_number": "937-746-7062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "KELLY",
        "middle_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Batin
• Sarah Beth Bauman, PHARMD
• Michele Ann Baxter, RN
• Alfred-John Balbuena Bayaton, DO
• Be the Light Enterprises LLC
• Ryan Michael Beauchamp, PHARMD
• Beautifully Aligned Wellness, LLC
• Beavercreek Chiropractic & Injury Treatment Ctr., Inc.
• Beavercreek Chiropractic Clinic Inc
• Beavercreek City School District

• All providers in Beavercreek, OH
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.