Individual provider Active NPI

Sarah Elizabeth Beaver, P.T.

  • Orthopedic Physical Therapist
  • Fairhope, AL
National Provider Identifier
1912295072
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH6154 Issued in AL
Practice address
341 Greeno Rd N
Fairhope, AL 36532-2979
Phone
(251) 928-2401
Fax
(251) 928-5099
NPI assigned
Jul 11, 2011
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTH6154 AL Primary

Addresses

Primary practice location

341 Greeno Rd N
Fairhope, AL 36532-2979

Mailing address

341 Greeno Rd N
Fairhope, AL 36532-2979
Phone (251) 928-2401

Other identifiers 3

IdentifierTypeStateIssuer
528700580OtherMEDICAID GROUP
131174MedicaidAL
131172MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110726000427 AL Practitioner - Physical Therapist in Private Practice 4183892748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

341 Greeno Rd N
Suite 102
Fairhope, AL 36532-2979
Phone (251) 928-9954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH6154ALMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc Orthopedic CurrentSince May 23, 2024 Accepting new patients
Bayside Orthopedic & Rehabilitation Center PC CurrentSince Jun 30, 2011 Accepting new patients
Bayside Orthopaedic & Rehabilitation Center, P.C. CurrentSince Jun 30, 2011 Accepting new patients
Encore Rehabilitation, Inc. Orthopedic CurrentSince May 23, 2024 Accepting new patients
Bayside Physical Therapy, LLC CurrentSince Jul 1, 2020 Accepting new patients
Alabama Orthopaedic Clinics, PC Past Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

251 Johnston St SE
Ste 200
Decatur, AL 35601

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

341 Greeno Rd N
Ste 102
Fairhope, AL 36532
Phone (251) 928-9954

1622 N McKenzie St
Foley, AL 36535
Phone (251) 928-9954

42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753

Organizations & group practices 7

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1912295072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH6154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "528700580",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131174",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131172",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.

Verify at the official NPI Registry.