Active NPI
Stephanie Laine Beauregard, P.T.
- Neurology Physical Therapist
- Fort Belvoir, VA
National Provider Identifier
1760688097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 2305204251
- Practice address
- 9300 Dewitt Loop
Ft. Belvoir, VA 22060-3231 - Phone
- (703) 806-4244
- NPI assigned
- Jun 24, 2007
- Last updated
- Jun 11, 2025
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 2305204251 | VA | Primary |
Addresses
Primary practice location
9300 Dewitt Loop
Ft. Belvoir, VA 22060-3231
Mailing address
9300 Dewitt Loop
Intrepid Spirit Center, BLDG. 1259
Fort Belvoir, VA 22060
Phone (571) 231-1210
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204251 | VA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1760688097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"address_2": "INTREPID SPIRIT CENTER, BLDG. 1259",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "22060",
"telephone_number": "571-231-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"city": "FT. BELVOIR",
"state": "VA",
"postal_code": "220603231",
"telephone_number": "703-806-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUREGARD",
"first_name": "STEPHANIE",
"middle_name": "LAINE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-24",
"last_updated": "2025-06-11",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "VA",
"license": "2305204251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.