Active NPI
Melissa Beaman, PT
- Physical Therapist
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021592
- Practice address
- 7120 110TH St
Forest Hills, NY 11375-4844 - Phone
- (718) 305-1190
- Fax
- (718) 305-1191
- NPI assigned
- Feb 20, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021592 | NY | Primary |
Addresses
Primary practice location
7120 110TH St
Forest Hills, NY 11375-4844
Mailing address
7120 110TH St
Forest Hills, NY 11375-4844
Phone (718) 305-1190
Other practice location 1
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone (516) 829-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Northern Blvd
Great Neck, NY 11021-4802
Phone (516) 829-0030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021592 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority One Therapy PT OT SLP PLLC | Current | Accepting new patients | |
| Reddy Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900
27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030
7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190
Organizations & group practices 2
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.
-
- Rehabilitation Practitioner
- Oceanside, NY
- NPI 1447517453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1861992315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 110TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754844",
"telephone_number": "718-305-1190",
"fax_number": "718-305-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 110TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754844",
"telephone_number": "718-305-1190",
"fax_number": "718-305-1191"
}
],
"practiceLocations": [
{
"address_1": "475 Northern Blvd Ste 11",
"address_purpose": "LOCATION",
"city": "Great Neck",
"state": "NY",
"postal_code": "110214802",
"country_code": "US",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAMAN",
"first_name": "MELISSA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.