NPIMap

Organization Active NPI

Beyond Therapy and Wellness PLLC

  • Physical Therapist
  • Bedford, TX
National Provider Identifier
1376804351
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BEYOND THERAPY AND WELLNESS PLLC
Practice address
1248 Harwood Rd
Bedford, TX 76021-4244
Phone
(817) 786-8058
Fax
(817) 786-8057
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Kristi Latham, PT
Title
PT/Owner
Phone
(817) 786-8058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1248 Harwood Rd
Bedford, TX 76021-4244

Mailing address

1248 Harwood Rd
Bedford, TX 76021-4244
Phone (817) 786-8058

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@Beyondtherapyandwellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120727000395 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951567437 Receives reassigned benefits from 6 practitioners
Practice locations: Bedford, TX
O20240202003355 TX DME Supplier - Independently-Practicing Physical Therapist 1951567437 Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

1705 Forest Ridge Dr
Bedford, TX 76022
Phone (817) 786-8058

Interoperability endpoints

  • Direct secure messaging: info@beyondtherapyandwellness.com

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1376804351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214244",
            "telephone_number": "817-786-8058",
            "fax_number": "817-786-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214244",
            "telephone_number": "817-786-8058",
            "fax_number": "817-786-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "817-786-8058",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@Beyondtherapyandwellness.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "address_1": "1705 Forest Ridge Dr",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760227959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.