Brian R Beatty, PT
Individual provider Active NPI Physical Therapist · Carrboro, NC
NPI 1922189042 · NPPES record last updated Jul 23, 2015
Key facts
- NPI
- 1922189042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2827 (NC)
- Practice address
- 304 W Weaver St
Ste 103
Carrboro, NC 27510-2084 - Phone
- (919) 942-0240
- Fax
- (919) 942-0280
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2827 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proaxis Therapy SC, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2827 | NC | Yes |
Addresses
Primary practice location
304 W Weaver St
Ste 103
Carrboro, NC 27510-2084
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14105 | Other | NC | BLUE CROSS BLUE SHIELD |
Other providers in Carrboro, NC
- Kristen Bagby
- Alisha Randall Bailey
- Rebecca Jewel Baker
- Balanced Physical Therapy, LLC
- Be/Come Counseling PLLC
- Sylvia I Becker-Dreps
- Pamela Francine Beiler
- Judith B Belch
- Donna Christine Bell
- Dana Bennison
All providers in Carrboro, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.