Individual provider Active NPI

Brett James Beltrame, PT

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1457649188
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1104890 Issued in KS
Practice address
12728 State Line Road
Leawood, KS 66209
Phone
(913) 888-0014
Fax
(816) 941-2520
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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 1104890 KS Primary

Addresses

Primary practice location

12728 State Line Road
Leawood, KS 66209

Mailing address

12728 State Line Road
N/a
Leawood, KS 66209-6620
Phone (913) 888-0014

Other identifiers 2

IdentifierTypeStateIssuer
KA2868056OtherKSMEDICARE PTAN
50657015OtherBCBS-KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140626001040 KS Practitioner - Physical Therapist in Private Practice 6507035045 Reassigns benefits to 2 organizations
I20171107002530 MO Practitioner - Physical Therapist in Private Practice 6507035045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physical Therapy LLCGroup PAC ID 3779914544, 50 clinicians

Practice addresses (Care Compare)

3223 N Webb Rd
Suite 2
Wichita, KS 67226-8176
Phone (316) 260-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1104890KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT LLC Physical Therapist Current Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Oct 11, 2024 Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Oct 11, 2024 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients
Preferred PT, LLC Physical Therapist Current Accepting new patients
Phoenix Physical Therapy LLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

8437 State Ave
Ste B
Kansas City, KS 66112
Phone (913) 299-9616

12728 State Line Rd
Leawood, KS 66209
Phone (816) 941-2550

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

12627 E Central Ave
Ste 308
Wichita, KS 67206

12627 E Central Ave
Wichita, KS 67206

3223 N Webb Rd
Ste 2
Wichita, KS 67226
Phone (316) 609-3040

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1457649188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 STATE LINE ROAD",
            "address_2": "N/A",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662096620",
            "telephone_number": "913-888-0014",
            "fax_number": "816-941-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 STATE LINE ROAD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-888-0014",
            "fax_number": "816-941-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAME",
        "first_name": "BRETT",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2868056",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-KC",
            "identifier": "50657015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.