Timothy P Beagan, PTA,AT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA74000858 Issued in ME

Practice address

374 Main St
Norway, ME 04268-5925

Phone

(207) 743-5493

Fax

(207) 743-5563

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1508922469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685925",
            "telephone_number": "207-743-5493",
            "fax_number": "207-743-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685925",
            "telephone_number": "207-743-5493",
            "fax_number": "207-743-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGAN",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "PTA,AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT270",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA74000858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Bader, P.T.
• Robert Thomas Baril, D.O
• Jennifer Barker, OTR/L
• Gregory Bates, APRN, FNP
• Karen Ann Bates, LADC, CCS
• Robert Richard Bean, M.D.
• Cynthia Lynn Beauchesne, OTR/L
• Megan Ann Bellavance, FNP-C
• Jennifer Whitehead Bennett, OT
• Danica Leigh Best, FNP-C

• All providers in Norway, ME
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.