Individual provider Active NPI

Jamie Lee Beavis, PHYSICAL THERAPIST

  • Physical Therapist
  • Saipan, MP
National Provider Identifier
1376725804
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14 Issued in MP
Practice address
1 Lower Navy Hill Road
Commonwealth Health Center Physical Therapy Dept
Saipan, MP 96950
Phone
(670) 236-8327
Fax
(670) 234-8930
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14 MP Primary

Addresses

Primary practice location

1 Lower Navy Hill Road
Commonwealth Health Center Physical Therapy Dept
Saipan, MP 96950

Mailing address

PO Box 500409
Lower Navy Hill Commonweath Health Center CK Physical T
Saipan, MP 96950
Phone (670) 236-8327

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
14MPMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1376725804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500409",
            "address_2": "LOWER NAVY HILL COMMONWEATH HEALTH CENTER CK PHYSICAL T",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-236-8327",
            "fax_number": "670-234-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOWER NAVY HILL ROAD",
            "address_2": "COMMONWEALTH HEALTH CENTER PHYSICAL THERAPY DEPT",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-236-8327",
            "fax_number": "670-234-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVIS",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MP",
            "license": "14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.