Individual provider Active NPI

Darrell Gene Beuten, LPTA

  • Physical Therapy Assistant
  • Thorntonn, CO
National Provider Identifier
1972200210
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA.0012660 Issued in CO
Practice address
9025 Grant St
#200
Thorntonn, CO 80229
Phone
(303) 292-0034
Fax
(720) 242-9372
NPI assigned
Feb 7, 2023
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA.0012660 CO Primary

Addresses

Primary practice location

9025 Grant St
#200
Thorntonn, CO 80229

Mailing address

9025 Grant St
#200
Thorntonn, CO 80229
Phone (303) 292-0034

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

LicenseStateTypeSpecialty
PTA.0012660COMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1972200210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 GRANT ST",
            "address_2": "#200",
            "city": "THORNTONN",
            "state": "CO",
            "postal_code": "80229",
            "telephone_number": "303-292-0034",
            "fax_number": "720-242-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 GRANT ST",
            "address_2": "#200",
            "city": "THORNTONN",
            "state": "CO",
            "postal_code": "80229",
            "telephone_number": "303-292-0034",
            "fax_number": "720-242-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUTEN",
        "first_name": "DARRELL",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0012660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.