Individual provider Active NPI

Lisa M Beeny, PT

  • Physical Therapist
  • Kenmore, NY
National Provider Identifier
1992051643
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035116-1 Issued in NY
Practice address
2438 Elmwood Ave
Kenmore, NY 14217-2244
Phone
(716) 873-9154
Fax
(716) 875-3796
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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 035116-1 NY Primary

Addresses

Primary practice location

2438 Elmwood Ave
Kenmore, NY 14217-2244

Mailing address

2438 Elmwood Ave
Kenmore, NY 14217-2244
Phone (716) 873-9154

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
035116-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ken-Ton Physical Therapy, PLLC Physical Therapist PastSince Aug 13, 2001 Accepting new patients

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1992051643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172244",
            "telephone_number": "716-873-9154",
            "fax_number": "716-875-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172244",
            "telephone_number": "716-873-9154",
            "fax_number": "716-875-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENY",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035116-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.