Kassandra Mae Beach, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2135826 Issued in TX

Practice address

2350 Airport Fwy Ste 150
Bedford, TX 76022-6050

Phone

(817) 508-0300

NPI assigned

Feb 25, 2018

Last updated

Feb 25, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519516800000",
    "number": "1235630252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 AIRPORT FWY STE 150",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226050",
            "telephone_number": "817-508-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 AIRPORT FWY STE 150",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226050",
            "telephone_number": "817-508-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "KASSANDRA",
        "middle_name": "MAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2135826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine C. Bartush, M.D.
• Binu Bashyal, APRN, FNP-C
• Rachel M Baugh
• Mychelle Baxter
• Brandon J Bayles, PT, DPT
• Beacon Behavioral of Texas PA (The Grant Group)
• Bedford Assoc in Oral&Maxillofacial Surgery
• Bedford Encore Adec LLC (Encore Memory Care Day Center)
• Bedford Endocrinology PLLC (Endocrine Associates of Mid-Cities)
• Bedford Eyecare, P.a. (First Eye Care Bedford)

• Physical Therapy Assistant in Bedford, TX
• Providers in Bedford, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; 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.