Kurt Beachy, MS, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003974 Issued in OH

Practice address

251 N Main St
Cedarville, OH 45314-8501

Phone

(937) 766-4135

Fax

(937) 766-7408

NPI assigned

Feb 13, 2014

Last updated

Feb 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1487078242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N MAIN ST",
            "city": "CEDARVILLE",
            "state": "OH",
            "postal_code": "453148501",
            "telephone_number": "937-766-4135",
            "fax_number": "937-766-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N MAIN ST",
            "city": "CEDARVILLE",
            "state": "OH",
            "postal_code": "453148501",
            "telephone_number": "937-766-4135",
            "fax_number": "937-766-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHY",
        "first_name": "KURT",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "003974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Aubut
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• Jacob Bonville
• Christopher William Brown
• Nicole Burnett

• Athletic Trainer in Cedarville, OH
• Providers in Cedarville, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.