Amber Rochelle Beardslee, D.P.T.
Individual provider Active NPI Orthopedic Physical Therapist · Shiprock, NM
NPI 1407089162 · NPPES record last updated Mar 9, 2016
Key facts
- NPI
- 1407089162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PTL.0011074 (CO)
- Practice address
- Highway 491 North
Shiprock, NM 87420 - Phone
- (505) 368-6001
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southcentral Foundation
Practice addresses (Care Compare)
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091005000473 | TX | Practitioner - Physical Therapist in Private Practice | 3971649948 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current |
Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients |
Locations
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
755 A St
Anchorage, AK 99501
Phone (907) 272-1255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PTL.0011074 | CO | Yes |
Addresses
Primary practice location
Highway 491 North
Shiprock, NM 87420
Mailing address
8750 Bell PL
Anchorage, AK 99507-3600
Phone (509) 859-3185
NPI Registry JSON
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1407089162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8750 BELL PL",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995073600",
"telephone_number": "509-859-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 491 NORTH",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "87420",
"telephone_number": "505-368-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARDSLEE",
"first_name": "AMBER",
"middle_name": "ROCHELLE",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "PTL.0011074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shiprock, NM
- Denise Suzanne Bartley
- Rosalynn Barton
- Joseph Baumgart
- Vaishali E. Bauskar
- Edgar Allan Bautista
- Dan Y Begay
- Ernest Harry Begay
- Tanisha Kayla Begay
- Tommie T Begay
- Winifred Belinda Begodi
All providers in Shiprock, NM · Orthopedic Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.