Active NPI
Rebecca Jean Beaumont, LPTA
- Physical Therapy Assistant
- Sherwood, AR
National Provider Identifier
1710025002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA1678
- Practice address
- 207 Fred Rains Dr
Sherwood, AR 72120-5457 - Phone
- (501) 834-0217
- Fax
- (501) 833-0957
- NPI assigned
- Feb 1, 2007
- 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 Therapy Assistant | 225200000X | PTA1678 | AR | Primary |
Addresses
Primary practice location
207 Fred Rains Dr
Sherwood, AR 72120-5457
Mailing address
5350 Buckingham PL
Bryant, AR 72022-9225
Phone (501) 672-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139236721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1678 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Hills Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Sherwood, AR
- NPI 1255456281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1710025002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 BUCKINGHAM PL",
"city": "BRYANT",
"state": "AR",
"postal_code": "720229225",
"telephone_number": "501-672-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FRED RAINS DR",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205457",
"telephone_number": "501-834-0217",
"fax_number": "501-833-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUMONT",
"first_name": "REBECCA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA1678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139236721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.