EMILY BEARDSWORTH (DPT) – Physical Therapist, NPI 1417534694

EMILY BEARDSWORTH (DPT) is a healthcare provider. based in Cedar rapids, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 107017 (IA). The NPI Number for EMILY BEARDSWORTH (DPT) is 1417534694

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
EMILY BEARDSWORTH (DPT)
NPI
1417534694
Phone
(319) 861-7776
Address
701 10TH ST SE
Enumeration Date
25 March 2021
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3194655937
Graduation Year
2020 (6 years ago)
PAC ID
6002207107
Group Practice PAC ID
4183535271
Professional Enrollment ID
I20211228001828
Address ID
IA523104722MO225XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for EMILY BEARDSWORTH (DPT)

  • 701 10TH ST SE

    CEDAR RAPIDS, IA 524031292

    Phone: (319) 861-7776

    Type: Location

  • 3207 220TH TRL

    AMANA, IA 522038206

    Phone:

    Type: Mailing

  • 3207 220th Trl

    Amana, IA 522038206

    Phone: (319) 622-3551

    Type: Location

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: 2021-12-28

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
I20211228001828IPhysical Therapist In Private PracticeIATBD

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 52403)

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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: 4183535271View full group profile
NameSpecialtyState
Clinical Social WorkerMO
General Surgery, Colorectal Surgery (Proctology)IL
Internal Medicine, Infectious DiseasePA
-IA
-IA
-IA
A N E S T H E S I O L O G YOH
-IA
Physician AssistantIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for EMILY BEARDSWORTH (DPT)?
EMILY BEARDSWORTH (DPT) — NPI 1417534694 — is the standard way to identify this listing.
Can I rely on EMILY BEARDSWORTH (DPT) being an active provider?
As of the registry snapshot, EMILY BEARDSWORTH (DPT) is marked active.
What is EMILY BEARDSWORTH (DPT) best known for clinically?
Directory data describes EMILY BEARDSWORTH (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect EMILY BEARDSWORTH (DPT) on a map?
Expect Cedar Rapids, Iowa as a primary anchor for EMILY BEARDSWORTH (DPT) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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