Darlene Marie Beaumont, PT
Individual provider Active NPI Physical Therapist · Great Bend, KS
NPI 1679776397 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1679776397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1101537 (KS)
- Practice address
- 2549 Russell Pkwy
Great Bend, KS 67530-2421 - Phone
- (785) 259-0143
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531000508 | KS | Practitioner - Physical Therapist in Private Practice | 6800186073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101537 | KS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1101537 | KS | Yes |
Addresses
Primary practice location
2549 Russell Pkwy
Great Bend, KS 67530-2421
Mailing address
2549 Russell Pkwy
Great Bend, KS 67530-2421
Phone (785) 259-0143
Other names
- Darlene Marie Herman
Other providers in Great Bend, KS
- Tina Barton
- Mykela Danae Bartz
- Susan J Bauer
- Donald E. Beahm
- Megan Joelle Beahm
- Baylee Beck
- Kimberly Kay Becker
- Alisha Bell-Markley
- Julie Lynn Belt
- Paul Beltran
All providers in Great Bend, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.