Individual provider Active NPI

Katie Beatley

  • Physical Therapist
  • Chelmsford, MA
National Provider Identifier
1134594716
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21749 Issued in MA
Practice address
40 Parkhurst Rd
Chelmsford, MA 01824-1513
Phone
(978) 256-3151
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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 21749 MA Primary

Addresses

Primary practice location

40 Parkhurst Rd
Chelmsford, MA 01824-1513

Mailing address

379 Stow Rd
Boxborough, MA 01719-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726000875 RI Practitioner - Physical Therapist in Private Practice 9032403720 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21749MAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Anchor Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
PT Care Specialists LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients

Locations

46 Holley St
Ste 3
Wakefield, RI 02879
Phone (401) 284-0770

26440 FM 1093 Rd
Ste A180
Richmond, TX 77406
Phone (281) 344-8900

1500 Jackson St
Ste 400
Richmond, TX 77469
Phone (281) 344-8900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1134594716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 STOW RD",
            "city": "BOXBOROUGH",
            "state": "MA",
            "postal_code": "017191801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARKHURST RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241513",
            "telephone_number": "978-256-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATLEY",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.