Individual provider Active NPI

Tyann Marie Beenken, PT

  • Physical Therapist
  • Buffalo Center, IA
National Provider Identifier
1437396090
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004322 Issued in IA
Practice address
125 N Main St
Buffalo Center, IA 50424-7731
Phone
(515) 320-2354
NPI assigned
Jan 19, 2009
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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 004322 IA Primary

Addresses

Primary practice location

125 N Main St
Buffalo Center, IA 50424-7731

Mailing address

PO Box 185
Buffalo Center, IA 50424-0185
Phone (515) 320-2354

Other names 1

  • Ms. Tyann Marie Meyer Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Stutzman Physical Therapy PC Physical Therapist CurrentSince Jun 1, 2016 Accepting new patients
Lemars Physical Therapy, PLLC Past Accepting new patients
Orange City Physical Therapy, L.L.C Physical Therapist Past Accepting new patients
Le Mars Physical Therapy Physical Therapist PastSince Jun 2, 2008 Accepting new patients

Locations

115 N Mill St
Lake Mills, IA 50450
Phone (641) 592-3500

Organizations & group practices 4

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": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1437396090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504240185",
            "telephone_number": "515-320-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504247731",
            "telephone_number": "515-320-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENKEN",
        "first_name": "TYANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYANN",
            "last_name": "MEYER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.