Active NPI
Machell H Beard, PTA
- Physical Therapy Assistant
- Steelville, MO
National Provider Identifier
1962036897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 117069
- Practice address
- 311 N Spring St
Steelville, MO 65565-5089 - Phone
- (573) 775-5815
- NPI assigned
- Feb 29, 2020
- 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 Therapy Assistant | 225200000X | 117069 | MO | Primary |
Addresses
Primary practice location
311 N Spring St
Steelville, MO 65565-5089
Mailing address
6 Fig St Apt 11
Sullivan, MO 63080-1761
Phone (573) 259-1404
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117069 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582934400000",
"number": "1962036897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 FIG ST APT 11",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630801761",
"telephone_number": "573-259-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N SPRING ST",
"city": "STEELVILLE",
"state": "MO",
"postal_code": "655655089",
"telephone_number": "573-775-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "MACHELL",
"middle_name": "H",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-29",
"last_updated": "2020-02-29",
"certification_date": "2020-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "117069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Steelville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.