Courteney Jean Bealko, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008630 Issued in WA

Practice address

1415 W Dravus St
Seattle, WA 98119-1716

Phone

(206) 284-9088

Fax

(206) 285-4946

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Physical Therapy LLC

  • Specialist
  • Seattle, WA
  • NPI 1447341946
  NPD (past) Authorized official

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1215379300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W DRAVUS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981191716",
            "telephone_number": "206-284-9088",
            "fax_number": "206-285-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W DRAVUS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981191716",
            "telephone_number": "206-284-9088",
            "fax_number": "206-285-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALKO",
        "first_name": "COURTENEY",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon of Hope Behavioral Consulting LLC
• Beacon Strategies LLC
• Kara Lindsie Beadle, LMT
• Lindsey Marie Beaky, LMHC
• Crystal J Beal, MD
• Angela C Beals, CNM, DNP
• Korrin Beals, L.M.T, L.M.P
• Beam Acupuncture, PLLC (Beacon East Asian Medicine)
• Christopher Beam, M.A.
• Allison Beaman, RN

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.