Individual provider Active NPI

Jacqueline Beltrame, PT,DPT

  • Physical Therapist
  • Adel, IA
National Provider Identifier
1902188097
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2016027014 Issued in MO
Practice address
516 Nile Kinnick Dr S
Ste B
Adel, IA 50003-2076
Phone
(515) 993-5599
Fax
(515) 993-1964
NPI assigned
Sep 14, 2011
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2016027014 MO Primary

Addresses

Primary practice location

516 Nile Kinnick Dr S
Ste B
Adel, IA 50003-2076

Mailing address

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265-1540
Phone (515) 440-3439

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

LicenseStateTypeSpecialty
2016027014MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Institute, P.C. PastSince Oct 1, 2023 Accepting new patients
Core Physical Therapy Inc Physical Therapist PastSince Mar 1, 2006 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1902188097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY",
            "address_2": "STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-440-3439",
            "fax_number": "515-440-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 NILE KINNICK DR S",
            "address_2": "STE B",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032076",
            "telephone_number": "515-993-5599",
            "fax_number": "515-993-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAME",
        "first_name": "JACQUELINE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016027014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.