Active NPI
Kayla Dougherty Beets, PT, DPT
- Physical Therapist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12014
- Practice address
- 4905 N Broadway St
Knoxville, TN 37918-2315 - Phone
- (865) 689-8299
- NPI assigned
- Aug 22, 2018
- 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 Therapist | 225100000X | 12014 | TN | Primary |
Addresses
Primary practice location
4905 N Broadway St
Knoxville, TN 37918-2315
Mailing address
4905 N Broadway St
Knoxville, TN 37918-2315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181016002620 | TN | Practitioner - Physical Therapist in Private Practice | 3072865211 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4905 N Broadway
Knoxville, TN 37918-2315
Phone (865) 689-8299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Spine & Sport Inc | Physical Therapist | Current | Accepting new patients |
Locations
142 W End Ave
Knoxville, TN 37934
Phone (865) 249-7566
4905 N Broadway St
Knoxville, TN 37918
Phone (865) 689-8299
7240 Kingston Pike
Ste 160
Knoxville, TN 37919
Phone (602) 762-0756
10966 Spring Bluff Way
Knoxville, TN 37932
Phone (865) 599-5323
3208 Tazewell Pike
Ste 102
Knoxville, TN 37918
Phone (865) 689-8299
142 Fairbanks Rd
Ste 150
Oak Ridge, TN 37830
Phone (865) 888-5431
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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1023101144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1831670447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 N BROADWAY ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379182315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 N BROADWAY ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379182315",
"telephone_number": "865-689-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEETS",
"first_name": "KAYLA",
"middle_name": "DOUGHERTY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.