Christine A Beacher, PT

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

029730 Issued in NY

Practice address

4 Granada Dr
Clifton Park, NY 12065-5834

Phone

(518) 937-0457

Fax

(518) 930-2579

NPI assigned

Dec 5, 2007

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1336321934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GRANADA DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655834",
            "telephone_number": "518-937-0457",
            "fax_number": "518-930-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GRANADA DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655834",
            "telephone_number": "518-937-0457",
            "fax_number": "518-930-2579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652019",
            "country_code": "US",
            "telephone_number": "518-268-4800",
            "fax_number": "518-268-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACHER",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029730",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029730",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "029730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Battaglia, PT, DPT
• Lisa Battenhausen, COTA
• Maria Battisti, PT
• Catherine A. Bauer, RN
• Doreen M Bazile, LCSW-R
• Katie Bean, DMS, PA-C, MHS PA
• Thomas Behlmer, DDS
• Daniel William Bell, D.C.
• Emily Bell
• Joyce L Bellin, RPA-C

• Early Intervention Provider Agency in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.

Verify at the official NPI Registry.