Beyond Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4291 Issued in AZ

Legal business name

BEYOND PHYSICAL THERAPY PLLC

Doing business as

Beyond Physical Therapy

Practice address

630 S Bandit Ridge Rd
Prescott, AZ 86305-9758

Phone

(928) 710-1819

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Leslie Terrell, MPT

Title

Owner/Managing Member

Phone

(928) 710-1819

Specialties & licenses 1

Addresses

Other names 1

• Beyond Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1487162129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S BANDIT RIDGE RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863059758",
            "telephone_number": "928-710-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S BANDIT RIDGE RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863059758",
            "telephone_number": "928-710-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "928-710-1819",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.