Billy Kevin Beach, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A8335R Issued in LA

Practice address

528 Avenue F
Bogalusa, LA 70427-3636

Phone

(985) 735-1112

Fax

(985) 735-1386

NPI assigned

May 31, 2012

Last updated

May 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back on Track, Inc

  • Internal Medicine Physician
  • Bogalusa, LA
  • NPI 1578743225
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1386905867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273636",
            "telephone_number": "985-735-1112",
            "fax_number": "985-735-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273636",
            "telephone_number": "985-735-1112",
            "fax_number": "985-735-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "BILLY",
        "middle_name": "KEVIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A8335R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Faith Baldo
• Tien Niem Banh, PST.018840 (PHARM.D)
• Robert Bradford Bardy, P.T., D.P.T.
• Shannon H Barnes
• Kenberly Kay Baughman, MSN, APRN, FNP-C
• Beacon Behavioral Hospital Northshore, LLC (Beacon Behavioral Outpatient - Bogalusa)
• Beacon Behavioral Outpatient - Bogalusa LLC
• Tammy Roxanne Bennett, RN
• Maria Delpilar Bernal, M.D.
• Joseph Ellis Bernard III, D.D.S.

• Physical Therapy Assistant in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.