Individual provider Active NPI

Beverly Jeannine Veltman, PHYSICAL THERAPIST P

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1285726075
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1010783 Issued in TX
Practice address
6005 Gilbert Rd
Patient Homes
Austin, TX 78724
Phone
(512) 426-0375
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1010783 TX Primary

Addresses

Primary practice location

6005 Gilbert Rd
Patient Homes
Austin, TX 78724

Mailing address

PO Box 144133
Austin, TX 78714
Phone (512) 426-0375

Other identifiers 2

IdentifierTypeStateIssuer
PT0001958MedicaidTX
658046OtherTXBCBS PAR PLAN

Other names 1

  • Miss Beverly Jeannine Owens Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1010783TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285726075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144133",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78714",
            "telephone_number": "512-426-0375",
            "fax_number": "512-533-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 GILBERT RD",
            "address_2": "PATIENT HOMES",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78724",
            "telephone_number": "512-426-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELTMAN",
        "first_name": "BEVERLY",
        "middle_name": "JEANNINE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1010783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0001958",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAR PLAN",
            "identifier": "658046",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "OWENS",
            "middle_name": "JEANNINE",
            "prefix": "MISS",
            "credential": "PHYSICAL THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.