Individual provider Active NPI

Angela Beurskens, CPTA

  • Physical Therapy Assistant
  • Leavenworth, KS
National Provider Identifier
1447598891
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-00434 Issued in KS
Practice address
4404 Muncie CT
Leavenworth, KS 66048-5580
Phone
(913) 683-9834
NPI assigned
Jan 18, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-00434 KS Primary
Physical Therapy Assistant 225200000X 2012042175 MO

Addresses

Primary practice location

4404 Muncie CT
Leavenworth, KS 66048-5580

Mailing address

4404 Muncie CT
Leavenworth, KS 66048-5580

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-00434KSMDPhysical Therapy Assistant
2012042175MOMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1447598891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 MUNCIE CT",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 MUNCIE CT",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485580",
            "telephone_number": "913-683-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEURSKENS",
        "first_name": "ANGELA",
        "credential": "CPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-00434",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2012042175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.