Active NPI
Linda Marie Beaver, LPTA
- Contractor
- Longwood, FL
National Provider Identifier
1760504138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PTA12516
- Practice address
- 593 Albany PL
Longwood, FL 32779-2264 - Phone
- (407) 782-3628
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | PTA12516 | FL | Primary |
Addresses
Primary practice location
593 Albany PL
Longwood, FL 32779-2264
Mailing address
593 Albany PL
Longwood, FL 32779-2264
Phone (407) 782-3628
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 |
|---|---|---|---|
| PTA12516 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469318400000",
"number": "1760504138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 ALBANY PL",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792264",
"telephone_number": "407-782-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 ALBANY PL",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792264",
"telephone_number": "407-782-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVER",
"first_name": "LINDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2016-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "PTA12516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.