Kristie Ann Beaty, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016487 Issued in PA

Practice address

1597 Lehigh St
Allentown, PA 18103-3813

Phone

(610) 791-4833

Fax

(610) 791-1633

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lehigh Valley Physical Therapy Center, Inc

  • Physical Therapist
  • Columbia, NJ
  • NPI 1871598789
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1639174089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S BEST AVE",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180881217",
            "telephone_number": "610-760-1520",
            "fax_number": "610-760-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 LEHIGH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033813",
            "telephone_number": "610-791-4833",
            "fax_number": "610-791-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "KRISTIE",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016487",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01111500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101086272",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Bealer, CRNP
• Laura Bealer, CRNP
• Mary Bealer, CRNP
• Meridith-Ann Emily Beam
• Gaye C. Beatty, LCSW
• Gillian Alexandra Beauchamp, MD
• Beautiful You by Dr Betsy Inc
• Tyler Leigh Beccari, MD
• Ashley Fay Bechtel
• Marla H Beck, LSW

• Physical Therapist in Allentown, PA
• Providers in Allentown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.