Individual provider Active NPI

Brittany Beasley, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1982137048
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12660 Issued in AZ
Practice address
13609 California St
Omaha, NE 68154-5260
Phone
(402) 891-1118
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12660 AZ Primary

Addresses

Primary practice location

13609 California St
Omaha, NE 68154-5260

Mailing address

13609 California St
Omaha, NE 68154-5260
Phone (402) 891-1118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024001597 AZ Practitioner - Physical Therapist in Private Practice 7719410174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute of Manual Physical Therapy PLLCGroup PAC ID 9234494501, 3 clinicians

Practice addresses (Care Compare)

2660 E 24TH St
Yuma, AZ 85365-2024
Phone (928) 259-7758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12660AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Manual Physical Therapy PLLC Physical Therapist CurrentSince Oct 16, 2024 Accepting new patients

Locations

1380 S Castle Dome Ave
Ste 104
Yuma, AZ 85365
Phone (928) 259-7758

2660 E 24th St
Yuma, AZ 85365
Phone (928) 239-2419

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1982137048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 CALIFORNIA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545260",
            "telephone_number": "402-891-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 CALIFORNIA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545260",
            "telephone_number": "402-891-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "BRITTANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.