Active NPI
Kendall Beyl, DPT
- Physical Therapist
- Kingsland, GA
National Provider Identifier
1619367208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011811
- Practice address
- 100 Lindsey LN # a
Kingsland, GA 31548-6850 - Phone
- (912) 729-1333
- Fax
- (912) 729-5259
- NPI assigned
- Feb 3, 2015
- Last updated
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34265 | FL | |
| Physical Therapist | 225100000X | PT011811 | GA | Primary |
Addresses
Primary practice location
100 Lindsey LN # a
Kingsland, GA 31548-6850
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (706) 236-2774
Other practice location 1
463688 State Road 200 Ste 9
Yulee, FL 32097-0304
Phone (904) 261-4414
Other practice location 2
1897 Island Walk Way Ste 5
Fernandina Beach, FL 32034-1949
Phone (904) 261-4664
Other names 1
- Kendall Voelker
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34265 | FL | MD | Physical Therapist |
| PT011811 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation and Consulting | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Rome, GA
- NPI 1174518682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1619367208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "706-236-2774",
"fax_number": "706-236-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LINDSEY LN # A",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486850",
"telephone_number": "912-729-1333",
"fax_number": "912-729-5259"
}
],
"practiceLocations": [
{
"address_1": "463688 State Road 200 Ste 9",
"address_purpose": "LOCATION",
"city": "Yulee",
"state": "FL",
"postal_code": "320970304",
"country_code": "US",
"telephone_number": "904-261-4414",
"fax_number": "904-261-4614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1897 Island Walk Way Ste 5",
"address_purpose": "LOCATION",
"city": "Fernandina Beach",
"state": "FL",
"postal_code": "320341949",
"country_code": "US",
"telephone_number": "904-261-4664",
"fax_number": "904-261-5852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEYL",
"first_name": "KENDALL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34265",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENDALL",
"last_name": "VOELKER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.