JENNIFER BEASLEY (PT) – Physical Therapist, NPI 1568023919

JENNIFER BEASLEY (PT) is a healthcare provider. based in Lakeland, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT21760 (FL). The NPI Number for JENNIFER BEASLEY (PT) is 1568023919

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BEASLEY (PT)
NPI
1568023919
Phone
(863) 680-7700
Address
1430 LAKELAND HILLS BLVD
Enumeration Date
26 June 2019
Last Update Date
30 April 2021

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
2532442190
Graduation Year
2004 (22 years ago)
PAC ID
4587992763
Group Practice PAC ID
7911393319
Professional Enrollment ID
I20230810001573
Address ID
WA983736106PU13305EXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for JENNIFER BEASLEY (PT)

  • 1430, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053202

    Phone: (863) 680-7700

    Fax: (866) 264-8519

    Type: Location

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053065

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230810001573IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911393319View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeKS
Qualified Speech Language PathologistWA

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER BEASLEY (PT) for billing?
Administrative and clinical systems typically use NPI 1568023919 for JENNIFER BEASLEY (PT).
Is JENNIFER BEASLEY (PT)'s NPI status active today?
Active status means JENNIFER BEASLEY (PT)'s NPI record is not deactivated in the public file.
What services align with JENNIFER BEASLEY (PT)'s listing?
JENNIFER BEASLEY (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER BEASLEY (PT) in Lakeland, Florida?
For routing, start with Lakeland, Florida for JENNIFER BEASLEY (PT), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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