Active NPI
Kayla R Beardsley, DC
- Chiropractor
- Malvern, PA
National Provider Identifier
1194123760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011515
- Practice address
- 631 Swedesford Rd Ste B
Malvern, PA 19355-1530 - Phone
- (607) 744-6324
- NPI assigned
- Dec 15, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11842 | FL | |
| Chiropractor | 111N00000X | 006.0108534 | VT | |
| Chiropractor | 111N00000X | DC011515 | PA | Primary |
Addresses
Primary practice location
631 Swedesford Rd Ste B
Malvern, PA 19355-1530
Mailing address
631 Swedesford Rd Ste B
Malvern, PA 19355-1530
Phone (607) 744-6324
Other practice location 1
351 E Conestoga Rd
Wayne, PA 19087
Phone (610) 293-1660
Other practice location 2
7950 Dani Dr
Suite 310
Fort Myers, FL 33966-8012
Phone (239) 936-5455
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 |
|---|---|---|---|
| DC011515 | PA | MD | Chiropractor |
| 006.0108534 | VT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strafford Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Wayne, PA
- NPI 1073804506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1194123760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 SWEDESFORD RD STE B",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551530",
"telephone_number": "607-744-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 SWEDESFORD RD STE B",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551530",
"telephone_number": "607-744-6324"
}
],
"practiceLocations": [
{
"address_1": "351 E Conestoga Rd",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "PA",
"postal_code": "19087",
"country_code": "US",
"telephone_number": "610-293-1660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7950 Dani Dr",
"address_2": "Suite 310",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339668012",
"country_code": "US",
"telephone_number": "239-936-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARDSLEY",
"first_name": "KAYLA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-15",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11842",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VT",
"license": "006.0108534",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.