Active NPI
Amy D. Beatty, PT, MPT
- Physical Therapist
- Gloucester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305202625
- Practice address
- 6970 Fox Hunt LN
Gloucester, VA 23061-5394 - Phone
- (804) 694-8111
- Fax
- (804) 694-5574
- NPI assigned
- Apr 4, 2006
- Last updated
- Apr 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305202625 | VA | Primary |
Addresses
Primary practice location
6970 Fox Hunt LN
Gloucester, VA 23061-5394
Mailing address
PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010243025 | Medicaid | VA | |
| 7202804 | Other | VA | AETNA |
| 1649232893 | Medicaid | VA | |
| P00308715 | Other | VA | MEDICARE RAILROAD |
| 192960 | Other | VA | BCBS PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6970 Fox Hunt LN
Gloucester, VA 23061-5394
Phone (804) 694-8111
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305202625 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Chiropractic, LLC | Current | Accepting new patients | |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
6970 Fox Hunt Ln
Gloucester, VA 23061
Phone (804) 694-8111
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
109 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740
201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740
5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955
5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188
Organizations & group practices 4
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.
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Chiropractor
- Williamsburg, VA
- NPI 1265728307
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
-
- Physical Therapist
- Glen Allen, VA
- NPI 1477588986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1649232893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649030",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6970 FOX HUNT LN",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230615394",
"telephone_number": "804-694-8111",
"fax_number": "804-694-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "AMY",
"middle_name": "D.",
"credential": "PT, MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305202625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010243025",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7202804",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649232893",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00308715",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PHYSICAL THERAPY",
"identifier": "192960",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.