Joseph Randall Page Beaugh, PT
Individual provider Active NPI Physical Therapist · Jasper, GA
NPI 1447847876 · NPPES record last updated Dec 31, 2020
Key facts
- NPI
- 1447847876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT013226 (GA)
- Practice address
- 620 J L White Dr Ste 110
Jasper, GA 30143-4897 - Phone
- (404) 367-2088
- Fax
- (706) 692-1199
- NPI assigned
- Dec 31, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013226 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013226 | GA | Yes |
Addresses
Primary practice location
620 J L White Dr Ste 110
Jasper, GA 30143-4897
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (404) 367-2088
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.