Gina Leann Beecher

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004456 Issued in IA

Practice address

715 SW Ankeny Rd
Ankeny, IA 50023-9798

Phone

(515) 965-1339

Fax

(515) 965-1186

NPI assigned

Nov 10, 2010

Last updated

Nov 10, 2010By 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

Other names 1

• Gina Leann Bruellman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• On With Life, Inc

  dba On With Life Outpatient Neuro Rehabilitation

  • Rehabilitation Clinic/Center
  • Coralville, IA
  • NPI 1245892629
  NPD (past)
• On With Life, Inc.

  dba On With

  • Clinical Neuropsychologist
  • Ankeny, IA
  • NPI 1336633346
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1639470313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239798",
            "telephone_number": "515-965-1339",
            "fax_number": "515-965-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239798",
            "telephone_number": "515-965-1339",
            "fax_number": "515-965-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECHER",
        "first_name": "GINA",
        "middle_name": "LEANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BRUELLMAN",
            "middle_name": "LEANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlin R. Bauhard, MD
• Sarah L Beattie, ARNP
• Emma Beauchamp
• Sarah Jean Becker, SLP
• Angeline Elizabeth Beckley
• Shannon Beelner, LMHC
• Bruce E Behrens
• Anna Bell
• Jennifer Margaret Bell, MOT
• Kelly Bell, RN

• Physical Therapist in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.