Individual provider Active NPI

Elizabeth H Beaumont, PT

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1174533699
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211636 Issued in VA
Practice address
4533 Brambleton Ave Ste 1
Roanoke, VA 24018-3436
Phone
(540) 772-8022
Fax
(540) 772-0294
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 2305211636 VA Primary

Addresses

Primary practice location

4533 Brambleton Ave Ste 1
Roanoke, VA 24018-3436

Mailing address

4533 Brambleton Ave
Roanoke, VA 24018-3436
Phone (540) 772-8022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referral@lucas-therapies-pc.direct.kno2fy.com Direct Carilion Clinic

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

LicenseStateTypeSpecialty
8608NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Ott'S Center for Physical Therapy and Sports Performance, LLC Physical Therapist Past Accepting new patients
Spine and Orthopedic Rehab of VA Inc Physical Therapist PastSince Sep 20, 2018 Accepting new patients

Organizations & group practices 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174533699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183436",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 BRAMBLETON AVE STE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183436",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUMONT",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@lucas-therapies-pc.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "Carilion Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4533 Brambleton Ave Ste 1",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240183436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.