Karly Johnson Beaty, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09514 Issued in MD

Practice address

20 Mayo Rd Ste 105
Edgewater, MD 21037-1439

Phone

(410) 956-7868

NPI assigned

Jul 17, 2023

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Karly Marie Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Cypress Creek Therapy Associates LLC

  • Physical Therapist
  • Severna Park, MD
  • NPI 1487603064

  Speech-Language Pathologist

  NPD
• Cypress Creek Therapy Associates LLC

  • Physical Therapist
  • Edgewater, MD
  • NPI 1710775572

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1447939202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12712 KINCAID LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152809",
            "telephone_number": "850-549-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAYO RD STE 105",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371439",
            "telephone_number": "410-956-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "KARLY",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLY",
            "last_name": "JOHNSON",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachelle Nicole Barrett
• Kyle Bateman
• Bayside Physical Therapy & Sports Rehabilitation Limited Partnership
• Bayside Physical Therpay and Sports Rehabilitation, Inc
• Laurel Elaine Beall, OTRL
• Karen S Beling, OD
• Lori Bennett, PT
• BH Brightview South River Opco, LLC (Brightview South River)
• Courtney Bianchi, LCSW-C
• Kendall Blumenthal

• Speech-Language Pathologist in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.