STACY BESHARA (PT) – Physical Therapist, NPI 1649205311
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for STACY BESHARA (PT)
3221 Beacon Pkwy Ste 100
Granger, IN 465307196
Phone: (574) 647-2930
Fax: (574) 647-2935
Type: Location
2310 California Rd
Suite A
Elkhart, IN 465141228
Phone: (574) 264-0791
Fax: (574) 262-9650
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-3725
Type: Mailing
1815 E IRELAND RD STE 100
SOUTH BEND, IN 466142845
Phone: (574) 647-5790
Fax: (574) 647-5792
Type: Location
200 E JACKSON BLVD STE 150
ELKHART, IN 465163513
Phone: (574) 389-5558
Fax: (574) 389-5559
Type: Location
California Road, Elkhart, Elkhart County, Indiana, 46514, United States
SUITE A
ELKHART, IN 465141228
Phone: (574) 264-0791
Fax: (574) 262-9650
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: 2005-10-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051018001235 | I | Physical Therapist In Private Practice | IN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 909 | 228 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 839 | 212 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 567 | 202 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 330 | 108 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 75 | 74 | $0 |
Insurance plans in this area (ZIP 46530)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Sports Medicine, Family Practice | IN | |
| Occupational Therapist In Private Practice | IL | |
| P O D I A T R Y | IN | |
| Orthopedic Surgery | IN | |
| Sports Medicine, Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Pain Management, Anesthesiology | IN | |
| Physical Therapist In Private Practice | IN |
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