Individual provider Active NPI

Beth Ferguson, PT

  • Pediatric Physical Therapist
  • Houston, TX
National Provider Identifier
1326366865
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1115152 Issued in TX
Practice address
7066 Lakeview Haven Dr
Suite 133
Houston, TX 77095-2568
Phone
(281) 763-2196
Fax
(281) 763-2196
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1115152 TX Primary

Addresses

Primary practice location

7066 Lakeview Haven Dr
Suite 133
Houston, TX 77095-2568

Mailing address

7066 Lakeview Haven Dr
Suite 133
Houston, TX 77095-2568
Phone (281) 763-2196

Other identifiers 1

IdentifierTypeStateIssuer
211083501MedicaidTX

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
1115152TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Steps Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1326366865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7066 LAKEVIEW HAVEN DR",
            "address_2": "SUITE 133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952568",
            "telephone_number": "281-763-2196",
            "fax_number": "281-763-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7066 LAKEVIEW HAVEN DR",
            "address_2": "SUITE 133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952568",
            "telephone_number": "281-763-2196",
            "fax_number": "281-763-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1115152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211083501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.