Chaz Carrol Beckwith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03808 Issued in KS

Practice address

117 W 6TH St
Larned, KS 67550-3045

Phone

(620) 285-6011

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1356924351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 RUSH AVE",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675503445",
            "telephone_number": "620-357-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 6TH ST",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675503045",
            "telephone_number": "620-285-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 Canterbury Dr",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012276",
            "country_code": "US",
            "telephone_number": "785-621-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 10th St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303252",
            "country_code": "US",
            "telephone_number": "620-603-4421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "CHAZ",
        "middle_name": "CARROL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusty Atterbury, PA
• Douglas Duane Ayre, O.D.
• Anita Ellen Barker, DNP, EBP-C
• Teresa Barton, M.S., CCC/SLP
• Angela Crystal Beck, NP-C
• Kaitesi Gilbert Bgoya, CNA
• Crystal D Bieberle, OTA
• Lacy Bowman, APRN, FNP-C
• April Corellia Bradshaw, NURSE PRACTITIONER
• Kathryn Buchanan, NP

• Physical Therapy Assistant in Larned, KS
• Providers in Larned, KS by specialty
• Physical Therapy Assistant in Kansas

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