Braden Elizabeth Beckham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16580 Issued in TN

Practice address

109 Meadow View Rd
Bristol, TN 37620-1661

Phone

(423) 797-4555

Fax

(423) 797-4556

NPI assigned

Sep 3, 2025

Last updated

Sep 3, 2025By 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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fairview Therapy

  dba Mini Miracles Pediatric Therapy

  • Early Intervention Provider Agency
  • Johnson City, TN
  • NPI 1831774637
  Medicare reassignment

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1679453567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MEADOW VIEW RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201661",
            "telephone_number": "423-797-4555",
            "fax_number": "423-797-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MEADOW VIEW RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201661",
            "telephone_number": "423-797-4555",
            "fax_number": "423-797-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "BRADEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Barr, BSW
• Robert Stephen Baskett, DPH
• Stephanie Bauer
• Brittany LD Bays, MS, ATC, PA-C
• Madison Asher Bazyk, PT
• David C Beckner, MD
• Deborah Carroll Beeler, LPN
• Broadus Monroe Beeson, M.D.
• Vinaya S Belagode, MD
• John Michael Bell, MD

• Physical Therapist in Bristol, TN
• Providers in Bristol, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.