Diane Beavers

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502003377 Issued in MI

Practice address

G3201 Beecher Rd
Flint, MI 48532-3615

Phone

(810) 732-9200

NPI assigned

Sep 19, 2019

Last updated

Sep 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1609426766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SHARON DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331507",
            "telephone_number": "810-275-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3201 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323615",
            "telephone_number": "810-732-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Beecher Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "48532",
            "country_code": "US",
            "telephone_number": "810-732-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Joann Beatty, RN
• Jill Beatty, LBSW
• Tawana Beaugard
• Tina Beaugard
• Beauty4Ashes Restorative Counseling Services P.L.L.C.
• Kenneth D Beck
• William D Beck, D.D.S.
• Marjorie Beckers, RN
• Michele L. Beckett, PAC
• Jane Renae Beckwith, OTR/L

• Physical Therapy Assistant in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.