Beverly Patterson, PTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001538 Issued in IA

Practice address

1600 McPherson Ave
Council Bluffs, IA 51503-4858

Phone

(712) 322-9285

NPI assigned

Jul 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310774400000",
    "number": "1316235922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S 133RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443555",
            "telephone_number": "402-707-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MCPHERSON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034858",
            "telephone_number": "712-322-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BEVERLY",
        "credential": "PTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-16",
        "last_updated": "2011-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "001538",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "179",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "1729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla R Paris, PTA
• Angela Leigh Parker, ARNP
• Connie Jean Parker, ARRT
• Tammana J Patel, APRN-NP
• Pathlab LTD.
• Kendal A Paulsen, MS, TLMHC
• Kimberly Paulsen
• Sherri Sue Payne, CRNP
• Traci Michelle Payne, RDH
• Raymond Peak

• Physical Therapy Assistant in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2011; 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.