Nicholas Andrew Beach, DPT
Individual provider Active NPI Physical Therapist · Indianapolis, IN
NPI 1336073519 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1336073519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05016414A (IN)
- Practice address
- 1992 E Stop 13 Rd
Indianapolis, IN 46227-6267 - Phone
- (317) 808-0230
- Fax
- (317) 808-0231
- NPI assigned
- Jun 11, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260626002823 | IN | Practitioner - Physical Therapist in Private Practice | 8022581339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05016414A | IN | Yes |
Addresses
Primary practice location
1992 E Stop 13 Rd
Indianapolis, IN 46227-6267
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Other providers in Indianapolis, IN
- Be Authentic Indy LLC
- Be Seen, LLC
- Be There Home Care, LLC
- Elizabeth Beach
- Matthew Beach
- Rhonda Beach
- Tessa Marie Beach
- Amanda Beache
- Kathleen Judith Beache
- Jennifer Mariko Izumi Beachy
All providers in Indianapolis, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.