Organization Active NPI

Beeville Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Beeville, TX
National Provider Identifier
1982016804
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1181756 Issued in TX
Legal business name
BEEVILLE PHYSICAL THERAPY, PLLC
Practice address
1406 E Houston St
D
Beeville, TX 78102-5346
Phone
(361) 542-4652
Fax
(361) 542-4653
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Erin Celeste Dial, PTNPI 1619123361
Title
Physical Therapy Director
Phone
(361) 542-4652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1181756 TX Primary

Addresses

Primary practice location

1406 E Houston St
D
Beeville, TX 78102-5346

Mailing address

1406 E Houston St
D
Beeville, TX 78102-5346
Phone (361) 542-4652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140820001670 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3375761125 Practice locations: Beeville, TX

Outpatient physical therapy / speech pathology certification: CCN 676718

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BEEVILLE PHYSICAL THERAPY, PLLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 20, 2015
Last certification
Apr 20, 2015
Ownership / control type
Proprietary
Facility address
1406 East Houston Street, Suite D
Beeville, TX 78102

National Provider Directory

National Provider Directory

Locations

1406 E Houston St
Ste D
Beeville, TX 78102
Phone (361) 542-4652

1406 E Houston St
#D
Beeville, TX 78102
Phone (361) 542-4652

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1982016804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 E HOUSTON ST",
            "address_2": "D",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025346",
            "telephone_number": "361-542-4652",
            "fax_number": "361-542-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E HOUSTON ST",
            "address_2": "D",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025346",
            "telephone_number": "361-542-4652",
            "fax_number": "361-542-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEVILLE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY DIRECTOR",
        "authorized_official_telephone_number": "361-542-4652",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1181756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.