Individual provider Active NPI

Kayla R Beardsley, DC

  • Chiropractor
  • Malvern, PA
National Provider Identifier
1194123760
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011515 Issued in PA
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

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DC011515PAMDChiropractor
006.0108534VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Strafford Chiropractic, LLC Chiropractor PastSince Jan 11, 2011 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.

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.

Verify at the official NPI Registry.