Individual provider Active NPI

Elizabeth Renee Beard, PT

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1518951730
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
200 Fort Pierpont Dr Ste 107
Morgantown, WV 26508-1327
Phone
(304) 322-4232
Fax
(043) 224-2353
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 Primary

Addresses

Primary practice location

200 Fort Pierpont Dr Ste 107
Morgantown, WV 26508-1327

Mailing address

1509 Fairmont Ave
Fairmont, WV 26554-2135
Phone (304) 363-0050

Other identifiers 4

IdentifierTypeStateIssuer
9335681OtherWVGROUP
0157726000MedicaidWV
001716788OtherWVBC/BS
001200OtherWVLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000712 WV Practitioner - Physical Therapist in Private Practice 9436055811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Roads Physical Therapy and RehabilitationGroup PAC ID 5597835603, 28 clinicians

Practice addresses (Care Compare)

200 Fort Pierpont Dr
Morgantown, WV 26508-1326
Phone (304) 322-4232

Merit-based Incentive Payment System (MIPS)

Final score
92.13 of 100Reported as individual
Quality
84.26
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Country Roads Physical Therapy and Rehabilitation Physical Therapist CurrentSince Aug 31, 2020 Accepting new patients
Dynamic Physical Therapy, Inc Physical Therapist CurrentSince Oct 10, 2003 Accepting new patients
Monongalia Physical Therapy Services, LTD. Physical Therapist PastSince Oct 10, 2003 Accepting new patients

Locations

1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050

200 Fort Pierpont Dr
Ste 107
Morgantown, WV 26508
Phone (304) 322-4232

1199 Pineview Dr
Morgantown, WV 26505
Phone (304) 598-2212

3227 Earl L Core Rd
Ste 710
Morgantown, WV 26508
Phone (304) 225-0910

200 Fort Pierpont Dr
Morgantown, WV 26508
Phone (304) 322-4232

3227 Earl L Core Rd
Morgantown, WV 26508
Phone (304) 225-0910

3411 University Ave
Ste 1
Morgantown, WV 26505
Phone (304) 598-2212

746 Fairmont Rd
Westover, WV 26501
Phone (304) 225-5222

Organizations & group practices 3

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1518951730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542135",
            "telephone_number": "304-363-0050",
            "fax_number": "304-363-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORT PIERPONT DR STE 107",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081327",
            "telephone_number": "304-322-4232",
            "fax_number": "043-224-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "ELIZABETH",
        "middle_name": "RENEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "9335681",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157726000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "001716788",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "001200",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.