Individual provider Active NPI

Beverly Ann Mey, PT

  • Physical Therapist
  • Kennewick, WA
National Provider Identifier
1124363353
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00000947 Issued in WA
Practice address
125 S Conway PL
Kennewick, WA 99336-3159
Phone
(509) 222-5028
Fax
(509) 222-5056
NPI assigned
Nov 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00000947 WA Primary

Addresses

Primary practice location

125 S Conway PL
Kennewick, WA 99336-3159

Mailing address

125 S Conway PL
Kennewick, WA 99336-3159
Phone (509) 222-5028

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

LicenseStateTypeSpecialty
PT00000947WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1124363353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CONWAY PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363159",
            "telephone_number": "509-222-5028",
            "fax_number": "509-222-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CONWAY PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363159",
            "telephone_number": "509-222-5028",
            "fax_number": "509-222-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEY",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00000947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.