Beyond Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BEYOND PHYSICAL THERAPY LLC

Practice address

120 Steele Rd
Bristol, CT 06010-5672

Phone

(860) 302-3687

Fax

(860) 582-9200

NPI assigned

Nov 29, 2019

Last updated

Nov 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen R Deville, RPT

Title

Single Member/Owner/RPT

Phone

(860) 302-3687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574985600000",
    "number": "1609413491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STEELE RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105672",
            "telephone_number": "860-302-3687",
            "fax_number": "860-582-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STEELE RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105672",
            "telephone_number": "860-302-3687",
            "fax_number": "860-582-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A",
        "authorized_official_last_name": "DEVILLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SINGLE MEMBER/OWNER/RPT",
        "authorized_official_telephone_number": "860-302-3687",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles J. Bencivengo, D.M.D.
• Kenneth George Benoit, MD
• Doris Bens, OT
• Wilmagie N Bernacet, LPN
• Amy Bernier, LCSW
• BH Sheriden Woods LLC (Civita Care Sheriden Woods)
• Ravneet Kaur Bharara, APRN
• Justyna Biadun
• Bio-Medical Applications of Connecticut, Inc. (Fresenius Medical Care Forestville)
• Biolo Counseling LLC

• Physical Therapy Clinic/Center in Bristol, CT
• Providers in Bristol, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.