Active NPI
Michelle Beers, PT
- Physical Therapist
- North Las Vegas, NV
National Provider Identifier
1265651913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3464
- Practice address
- 3155 W Craig Rd Ste 140
North Las Vegas, NV 89032-0783 - Phone
- (702) 639-2333
- Fax
- (702) 639-2334
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-015632 | IL | |
| Physical Therapist | 225100000X | 3464 | NV | Primary |
Addresses
Primary practice location
3155 W Craig Rd Ste 140
North Las Vegas, NV 89032-0783
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568080 | Other | IL | MEDICARE GROUP NUMBER |
| 567700 | Other | IL | MEDICARE GROUP NUMBER |
| 1619908 | Other | IL | BCBS IL GROUP NUMBER |
| 568150 | Other | IL | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-015632 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy & Rehabilitation Specialists S.C. | Physical Therapist | Past | Accepting new patients |
| Sports Physical Therapy & Rehab Specialists, S.C. | Physical Therapist | Past | Accepting new patients |
Locations
14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
dba Athletico Physical Therapy
- Physical Therapist
- Kenosha, WI
- NPI 1326150624
-
dba Athletico Physical Therapy
- Clinic/Center
- Mukwonago, WI
- NPI 1174187975
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265651913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 W CRAIG RD STE 140",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320783",
"telephone_number": "702-639-2333",
"fax_number": "702-639-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEERS",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-015632",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "568080",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "567700",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL GROUP NUMBER",
"identifier": "1619908",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "568150",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.