NPIMap

Organization Active NPI

Beane Family Ventures Inc.

Doing business as FYZICAL Ellsworth

  • Physical Therapy Clinic/Center
  • Ellsworth, ME
National Provider Identifier
1386599488
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BEANE FAMILY VENTURES INC.
Doing business as
FYZICAL Ellsworth
Practice address
75 Washington St Ste 2
Ellsworth, ME 04605-2104
Phone
(207) 544-9640
Fax
(207) 433-1246
NPI assigned
Mar 3, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BEANE FAMILY VENTURES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
William Terry Beane
Title
Owner
Phone
(207) 951-0466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

75 Washington St Ste 2
Ellsworth, ME 04605-2104

Mailing address

75 Washington St Ste 2
Ellsworth, ME 04605-2104
Phone (207) 544-9640

Other names 2

  • FYZICAL Ellsworth Doing business as
  • FYZICAL Therapy & Balance Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240716004799 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022455484 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bangor, ME; Ellsworth, ME

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Fyzical Twin City Bangor2 organizations share this tax ID, including this one
Part of
Fyzical Twin City Bangor

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75 Washington St
#2
Ellsworth, ME 04605
Phone (207) 544-9640

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1386599488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST STE 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052104",
            "telephone_number": "207-544-9640",
            "fax_number": "207-433-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST STE 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052104",
            "telephone_number": "207-544-9640",
            "fax_number": "207-433-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEANE FAMILY VENTURES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEANE FAMILY VENTURES INC.",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "BEANE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-951-0466"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Ellsworth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FYZICAL Therapy & Balance Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.