Active NPI
Terry Lee Beale
- Massage Therapist
- Concord, NC
National Provider Identifier
1578341814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8819
- Practice address
- 5975 Thunder Rd Apt 109
Concord, NC 28027-8495 - Phone
- (240) 640-5303
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8819 | NC | Primary |
Addresses
Primary practice location
5975 Thunder Rd Apt 109
Concord, NC 28027-8495
Mailing address
5975 Thunder Rd Apt 109
Concord, NC 28027-8495
Phone (240) 640-5303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8819 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1578341814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5975 THUNDER RD APT 109",
"city": "CONCORD",
"state": "NC",
"postal_code": "280278495",
"telephone_number": "240-640-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5975 THUNDER RD APT 109",
"city": "CONCORD",
"state": "NC",
"postal_code": "280278495",
"telephone_number": "240-640-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALE",
"first_name": "TERRY",
"middle_name": "LEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "8819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.