Kimberly Johnston Beasley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001520 Issued in KY

Practice address

175 Medpark Dr Ste 1
Somerset, KY 42503

Phone

(606) 679-1761

Fax

(606) 678-9071

NPI assigned

May 22, 2007

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 KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Rehab Center PSCGroup PAC ID 2466480751, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Rehab Center, PSC

  • Physical Therapist
  • Somerset, KY
  • NPI 1225061542
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1700095031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CEDAR HILL FARM RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016227",
            "telephone_number": "606-679-1761",
            "fax_number": "502-839-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEDPARK DR STE 1",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-679-1761",
            "fax_number": "606-678-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON BEASLEY",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Johnson, DO
• Barbara L Johnson, LCSW
• McKenna Johnson
• Robert Johnson, NP
• Valerie Johnson
• Amy Lankford Jones, PA-C
• Cynthia Jones, P.T.
• Dakota Jones, MD
• George Phillip Jones, LCSW
• Jessi G Jones, LPCC

• Physical Therapist in Somerset, KY
• Providers in Somerset, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.