Active NPI
Kylie Rae Beauchamp, PT, DPT
- Physical Therapist
- Monroe, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015510
- Practice address
- 705 Breedlove Dr Ste 200
Monroe, GA 30655-2080 - Phone
- (706) 549-1663
- Fax
- (706) 546-8792
- NPI assigned
- Aug 18, 2021
- Last updated
- Jun 2, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015510 | GA | Primary |
Addresses
Primary practice location
705 Breedlove Dr Ste 200
Monroe, GA 30655-2080
Mailing address
1765 Old West Broad St BLDG 2-200
Athens, GA 30606-2887
Phone (706) 549-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15630687 | Other | CAQH NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
788 Prince Ave
Suite C
Athens, GA 30606-5912
Phone (706) 543-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015510 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance and Rehabilitation Centers, LLC | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Human Performance and Rehabilitation Centers LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients |
Locations
788 Prince Ave
Ste C
Athens, GA 30606
Phone (706) 453-2111
6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
3903 S Cobb Dr SE
Ste 275
Smyrna, GA 30080
Phone (404) 251-2109
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 5
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.
-
- Physical Therapist
- Columbus, GA
- NPI 1104415983
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1891583654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1902572209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 OLD WEST BROAD ST BLDG 2-200",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062887",
"telephone_number": "706-549-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 BREEDLOVE DR STE 200",
"city": "MONROE",
"state": "GA",
"postal_code": "306552080",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUCHAMP",
"first_name": "KYLIE",
"middle_name": "RAE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "15630687",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.