Kelli Anne Besancon, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1204970 Issued in TX

Practice address

11751 Alta Vista Rd
Fort Worth, TX 76244-6441

Phone

(817) 431-4242

NPI assigned

Aug 18, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1760638084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 LILLYBROOK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445747",
            "telephone_number": "617-304-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "817-431-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESANCON",
        "first_name": "KELLI",
        "middle_name": "ANNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1204970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Berryman-Pepper, LPC
• Lindsay Berryman, RDN, LD
• William Berta, LCDCI
• Barbara Bertch, MAMFC
• Tara R Bertram, PA-C
• Jonathan Besas, D.O.
• Ramashesai Besetty, MD
• Megan Bess, LMSW, LCDC
• Best Caring Hands LLC
• Best Choice Chiropractic and Wellness Center

• Orthopedic Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.