Sandra Patrick Beasock, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

008822-1 Issued in NY

Practice address

1591 Hines Rd
Boonville, NY 13309-2108

Phone

(315) 942-3101

NPI assigned

Jan 15, 2009

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Open Sky Wellness, LLC

  • Massage Therapist
  • Lowville, NY
  • NPI 1700308210
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1770720518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 HINES RD",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133092108",
            "telephone_number": "315-942-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 HINES RD",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133092108",
            "telephone_number": "315-942-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASOCK",
        "first_name": "SANDRA",
        "middle_name": "PATRICK",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "008822-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adirondack Central School
• Adirondack Eyecare Center Inc
• Patricia Bates, RN, NP
• Hannah Beasock
• Leah Boek, MSN FNP-BC
• Boonville Ambulance Inc.
• Tracy Bova
• Katrina Denise Brownell, LPN
• Thomas Nicholas Caruso, DDS

• Pediatric Physical Therapist in Boonville, NY
• Providers in Boonville, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.