Individual provider Active NPI

Isaac Lee Beitz, PT

  • Physical Therapist
  • Oak Grove, MO
National Provider Identifier
1669219739
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP055700T Issued in MO
Practice address
509 S Broadway
Oak Grove, MO 64075-8104
Phone
(816) 625-4967
NPI assigned
Jul 15, 2024
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP055700T MO Primary
Physical Therapist 225100000X CP035262T GA
Physical Therapist 225100000X CP032670T NC
Physical Therapist 225100000X CP039911T OR

Addresses

Primary practice location

509 S Broadway
Oak Grove, MO 64075-8104

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389

Other practice location 1

1910 Marcola Rd
Springfield, OR 97477-2560
Phone (503) 404-0030

Other practice location 2

20 Market St Ste 102
Saint Simons Island, GA 31522-1986
Phone (912) 634-5885

Other practice location 3

8124 S Tryon St Unit A4
Charlotte, NC 28273-3379
Phone (980) 217-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, OR, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20241211003810 GA Practitioner - Physical Therapist in Private Practice 7416483631 Reassigns benefits to 2 organizations
I20241223000994 NC Practitioner - Physical Therapist in Private Practice 7416483631 Reassigns benefits to 3 organizations
I20250318000000 OR Practitioner - Physical Therapist in Private Practice 7416483631 Reassigns benefits to 1 organization
I20260508000140 MO Practitioner - Physical Therapist in Private Practice 7416483631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians

Practice addresses (Care Compare)

1910 Marcola Rd
Springfield, OR 97477-2560
Phone (503) 404-0030

509 S Broadway
Oak Grove, MO 64075-8104
Phone (816) 625-4967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP055700TMOMDPhysical Therapist
CP039911TORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 17, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 17, 2024 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

20 Market St
Ste 102
St Simons Island, GA 31522
Phone (912) 634-5885

8124 S Tryon St
Unit A4
Charlotte, NC 28273
Phone (980) 217-4171

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

1910 Marcola Rd
Springfield, OR 97477
Phone (503) 404-0030

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1669219739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S BROADWAY",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640758104",
            "telephone_number": "816-625-4967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Marcola Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974772560",
            "country_code": "US",
            "telephone_number": "503-404-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Market St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Simons Island",
            "state": "GA",
            "postal_code": "315221986",
            "country_code": "US",
            "telephone_number": "912-634-5885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8124 S Tryon St Unit A4",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282733379",
            "country_code": "US",
            "telephone_number": "980-217-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEITZ",
        "first_name": "ISAAC",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP055700T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP035262T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP032670T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "CP039911T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.

Verify at the official NPI Registry.