Active NPI
Brett James Beltrame, PT
- Physical Therapist
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1104890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KA2868056 | Other | KS | MEDICARE PTAN |
| 50657015 | Other | BCBS-KC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1104890 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred PT LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT, LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT, LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT, LLC | Physical Therapist | Current | Accepting new patients |
| Phoenix Physical Therapy LLC | Current | 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.
-
- Physical Therapist
- Leawood, KS
- NPI 1336966852
-
- Physical Therapist
- Lansing, KS
- NPI 1720132608
-
- Physical Therapist
- Kansas City, MO
- NPI 1568830040
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.