Individual provider Active NPI

Jennifer Gwen Beal, P.T.

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1396825774
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 4764 Issued in FL
Practice address
2505 Metrocentre Blvd
Suite 201
West Palm Beach, FL 33407-3114
Phone
(561) 688-1844
Fax
(561) 688-1845
NPI assigned
Oct 17, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 PT 4764 FL Primary

Addresses

Primary practice location

2505 Metrocentre Blvd
Suite 201
West Palm Beach, FL 33407-3114

Mailing address

6461 Spartina Cir
Jupiter, FL 33458-1811
Phone (561) 747-5184

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 4764FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
W. Patrick Magee, PT, DPT CurrentSince Oct 10, 2021 Accepting new patients

Locations

3397 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-6994

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396825774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6461 SPARTINA CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581811",
            "telephone_number": "561-747-5184",
            "fax_number": "561-747-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 METROCENTRE BLVD",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073114",
            "telephone_number": "561-688-1844",
            "fax_number": "561-688-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "JENNIFER",
        "middle_name": "GWEN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 4764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

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