Kristen M Beeghly

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OH-05674 Issued in OH

Practice address

4276 E Centerville Rd
Spring Valley, OH 45370-7783

Phone

(513) 824-1805

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Outpatient at Home LLC

  • Physical Therapy Clinic/Center
  • Worthington, OH
  • NPI 1629671003

  OH

  Medicare reassignment NPD
• Columbus Physical Therapy, LLC

  • Physical Therapist
  • Dublin, OH
  • NPI 1760827232
  NPD (past)

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1104522374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 E CENTERVILLE RD",
            "city": "SPRING VALLEY",
            "state": "OH",
            "postal_code": "453707783",
            "telephone_number": "513-824-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 E CENTERVILLE RD",
            "city": "SPRING VALLEY",
            "state": "OH",
            "postal_code": "453707783",
            "telephone_number": "513-824-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEGHLY",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OH-05674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jay Caron, PTA
• Melissa Davis
• Brooke Drown, RBT
• Deborah Kay Durham, LPN
• Dale Gregory Evans, MD

• All providers in Spring Valley, OH
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.