John Austin Beery

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5502000425 Issued in MI

Practice address

828 N Homer Rd
Midland, MI 48640-8616

Phone

(989) 839-9529

Fax

(989) 839-9529

NPI assigned

Mar 26, 2011

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• John Austin Beery Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2011.

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301097600000",
    "number": "1093014243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 N HOMER RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408616",
            "telephone_number": "989-839-9529",
            "fax_number": "989-839-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 N HOMER RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408616",
            "telephone_number": "989-839-9529",
            "fax_number": "989-839-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERY",
        "first_name": "JOHN",
        "middle_name": "AUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-26",
        "last_updated": "2011-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5502000425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "BEERY",
            "middle_name": "AUSTIN",
            "credential": "P.T.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colleen G Beebe
• Kristina Jade Beebe
• Tonya Beebe
• Karmen Karlene Maria Beehr
• Kelly Lynne Beelman, PA-C
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• Adara Bell, PA
• Jennifer Bell
• Kayla Bell
• Geoffrey Bellhorn

• All providers in Midland, MI
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; 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.