Active NPI
Christopher Douglas Beadle, DPT
- Physical Therapist
- Spokane, WA
National Provider Identifier
1124329636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60093447
- Practice address
- 2903 E 25TH Ave
Spokane, WA 99223-4992 - Phone
- (509) 536-6650
- NPI assigned
- Nov 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60093447 | WA | Primary |
Addresses
Primary practice location
2903 E 25TH Ave
Spokane, WA 99223-4992
Mailing address
5712 N Drumheller St
Spokane, WA 99205-7513
Phone (509) 981-0934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60093447 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1124329636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5712 N DRUMHELLER ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992057513",
"telephone_number": "509-981-0934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 E 25TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992234992",
"telephone_number": "509-536-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADLE",
"first_name": "CHRISTOPHER",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-15",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60093447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.