Active NPI
Jena Shoemaker Beasley, DPT
- Physical Therapist
- Brentwood, TN
National Provider Identifier
1144554536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8472
- Practice address
- 317 Seven Springs Way
Ste. 202
Brentwood, TN 37027-4575 - Phone
- (615) 921-3800
- Fax
- (615) 921-3801
- NPI assigned
- Oct 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 8472 | TN | Primary |
Addresses
Primary practice location
317 Seven Springs Way
Ste. 202
Brentwood, TN 37027-4575
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446631 | Medicaid | TN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8472 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1144554536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681478",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681478",
"telephone_number": "615-591-6590",
"fax_number": "615-591-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 SEVEN SPRINGS WAY",
"address_2": "STE. 202",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274575",
"telephone_number": "615-921-3800",
"fax_number": "615-921-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "JENA",
"middle_name": "SHOEMAKER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446631",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.