MRS. JILL KELLEY BEASENBURG (NPI# 1871543033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871543033 |
| Entity Type | Individual |
| Full Name | MRS. JILL KELLEY BEASENBURG |
| Credential | PT |
| Practice Address |
856 Grannys Ln Awendaw SC 29429-6060 |
| Mailing Address |
636 Long Point Rd Unit G Mt Pleasant SC 29464-8286 |
| Practice Telephone | 8432594633 |
| Practice Fax Number | 8433884498 |
| Mailing Telephone | 8432594633 |
| Mailing Fax Number | 8433884498 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4236 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | TH1534 | 05 |
| Street Address |
856 GRANNYS LN |
| City | AWENDAW |
| State | SC |
| Zip Code | 29429-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477503613 | Palmetto Children's Therapy, LLC | Physical Therapist | 856 Grannys Ln, Awendaw, SC 29429-6060 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760698781 | Brittney Lynn Farrell | Speech-Language Pathologist | 7361 Doar Rd, Awendaw, SC 29429 | 2007-05-15 |
| 1023077302 | Brenda Batten Reagan | Occupational Therapist | 1320 Eden Rd, Awendaw, SC 29429-5914 | 2006-03-23 |
| 1912063660 | Early Advantage, LLC | Occupational Therapist | 1320 Eden Rd, Awendaw, SC 29429-5914 | 2006-12-28 |
| 1972524957 | Windwood Farm Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4857 Windwood Farm Rd, Awendaw, SC 29429-5951 | 2006-07-22 |
| 1164788493 | Jenna Westfall Young | Marriage & Family Therapist | 4857 Windwood Farm Rd, Awendaw, SC 29429-5951 | 2012-04-11 |
| 1265753461 | Windwood Farm Home for Children, Inc. | Community/Behavioral Health | 4857 Windwood Farm Rd, Awendaw, SC 29429-5951 | 2010-06-22 |
| 1033437801 | Windwood Farm Home for Children, Inc. | Psychiatric Residential Treatment Facility | 4857 Windwood Farm Rd, Awendaw, SC 29429-5951 | 2010-05-04 |
| 1619047974 | Windwood Farm Home | Residential Treatment Facility, Emotionally Disturbed Children | 4857 Windwood Farm Rd, Awendaw, SC 29429-5951 | 2006-11-08 |
| 1831271170 | Windwood Farm Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4857 Windwood Farm Rd, Awendaw, SC 29429-5951 | 2006-10-19 |
| 1285010611 | Terra Lynn Kloth | Nurse Anesthetist, Certified Registered | 6451 Come About Way, Awendaw, SC 29429-6022 | 2015-08-07 |
| Find all providers in zip 29429 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477503613 | Palmetto Children's Therapy, LLC | Physical Therapist | 856 Grannys Ln, Awendaw, SC 29429-6060 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244756 | Cathy Schreiber | Physical Therapist | 2387 Lantern St, Charleston, SC 29414-4850 | 2020-08-08 |
| 1982221016 | Milestones & Movement Pediatric Physical Therapy, LLC | Physical Therapist | 206 Calm Water Way, Summerville, SC 29486-6902 | 2020-07-06 |
| 1114559192 | Stephen Bendziewicz | Physical Therapist | 206 Blackstone Dr, Irmo, SC 29063-7838 | 2020-02-07 |
| 1811467939 | Upstate Therapy Works | Physical Therapist | 256 Dellwood Dr, Spartanburg, SC 29301-5023 | 2018-12-01 |
| 1518433028 | Kimberly (kim) Fowler King | Physical Therapist | 334 Monroe Dr, Piedmont, SC 29673-9731 | 2018-10-23 |
| 1346725306 | Walker Physical Therapy & Wellness, LLC | Physical Therapist | 4720 Grey Moss Dr, Clover, SC 29710-8706 | 2018-09-26 |
| 1104313261 | Purposeful Play Pediatric Physical Therapy, LLC | Physical Therapist | 17 Plantation Cir, Summerville, SC 29485-3474 | 2018-04-15 |
| 1649785270 | Jaunitha Magwood | Physical Therapist | 124 Lisa Dr, Summerville, SC 29485-5307 | 2017-12-05 |
| 1629587191 | Playxcience LLC | Physical Therapist | 2023 Taney Way, Indian Land, SC 29707-7488 | 2017-09-27 |
| 1598281255 | Developmental Center for Exceptional Children | Physical Therapist | 1100 West Franklin Street, Anderson, SC 29624 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.