MRS. KIMBERLY JOHNSTON BEASLEY (PT) – Physical Therapist, NPI 1700095031

MRS. KIMBERLY JOHNSTON BEASLEY (PT) is a healthcare provider. based in Somerset, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 001520 (KY). The NPI Number for MRS. KIMBERLY JOHNSTON BEASLEY (PT) is 1700095031

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY JOHNSTON BEASLEY (PT)
NPI
1700095031
Phone
(606) 679-1761
Address
175 MEDPARK DR STE 1
Enumeration Date
22 May 2007
Last Update Date
25 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6066791761
Graduation Year
1987 (39 years ago)
PAC ID
9830449735
Group Practice PAC ID
2466480751
Professional Enrollment ID
I20180913000911
Address ID
KY425032734SO175XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for MRS. KIMBERLY JOHNSTON BEASLEY (PT)

  • 175 MEDPARK DR STE 1

    SOMERSET, KY 42503

    Phone: (606) 679-1761

    Fax: (606) 678-9071

    Type: Location

  • 304 CEDAR HILL FARM RD

    SOMERSET, KY 425016227

    Phone: (606) 679-1761

    Fax: (502) 839-9763

    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: 2018-09-13

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
I20180913000911IPhysical Therapist In Private PracticeKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes25544$0
97530Therapy procedure using functional activities15731$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6515$0
97535Training for self-care or home management, each 15 minutes2822$0
97162Evaluation for physical therapy, typically 30 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 42503)

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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: 2466480751View full group profile
NameSpecialtyState
Qualified Speech Language PathologistKY
Occupational Therapist In Private PracticeKY
Occupational Therapist In Private PracticeKY
-KY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Is there an official ID for MRS. KIMBERLY JOHNSTON BEASLEY (PT) in U.S. healthcare records?
The official identifier for MRS. KIMBERLY JOHNSTON BEASLEY (PT) is NPI 1700095031.
Active or inactive — what applies to MRS. KIMBERLY JOHNSTON BEASLEY (PT)?
You should see MRS. KIMBERLY JOHNSTON BEASLEY (PT) as active in CMS-hosted NPPES data.
What area of care is associated with MRS. KIMBERLY JOHNSTON BEASLEY (PT)?
MRS. KIMBERLY JOHNSTON BEASLEY (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. KIMBERLY JOHNSTON BEASLEY (PT)?
Travel planning: use Somerset, Kentucky as the reference point for MRS. KIMBERLY JOHNSTON BEASLEY (PT), then confirm.
Can I trust this NPI listing for MRS. KIMBERLY JOHNSTON BEASLEY (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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