MR. JOHN J BEATY (P.T.) – Physical Therapist, NPI 1013139146

MR. JOHN J BEATY (P.T.) is a healthcare provider. based in Waunakee, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 13230-24 (WI). The NPI Number for MR. JOHN J BEATY (P.T.) is 1013139146

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN J BEATY (P.T.)
NPI
1013139146
Phone
(608) 849-4315
Address
1300 S CENTURY AVE
Enumeration Date
2 May 2007
Last Update Date
30 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6088494315
Graduation Year
2000 (26 years ago)
PAC ID
7315010998
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20211209000963
Address ID
WI535972386WA1300XAVEX400

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
jbeaty263436@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:19State licenses:4Other namesUpdated within 12 months

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for MR. JOHN J BEATY (P.T.)

  • Davis Duehr Dean Waunakee, 1300, South Century Avenue, Kilkenny Farms, Waunakee, Dane County, Wisconsin, 53597, United States

    WAUNAKEE, WI 535972386

    Phone: (608) 849-4315

    Fax: (608) 850-1606

    Type: Location

  • West Beltline Highway, Ethelwyn Park, Madison, Dane County, Wisconsin, 53713, United States

    MADISON, WI 537132334

    Phone: (608) 250-1497

    Fax: (608) 250-1384

    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: 2021-12-09

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
I20211209000963IPhysical Therapist In Private PracticeWITBD

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 minutes45064$0
97162Evaluation for physical therapy, typically 30 minutes4644$0
97140Therapy procedure using manual technique, each 15 minutes4417$0
View full utilization report →

Insurance plans in this area (ZIP 53597)

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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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
O P T O M E T R YWI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
Family PracticeWI

Reviews

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Frequently asked questions

What is the registry number for MR. JOHN J BEATY (P.T.)?
The registry entry for MR. JOHN J BEATY (P.T.) shows NPI 1013139146.
Should I treat MR. JOHN J BEATY (P.T.) as an active provider?
Patients and plans typically see MR. JOHN J BEATY (P.T.) as active in the national extract.
How should patients interpret MR. JOHN J BEATY (P.T.)'s specialty?
The extract shows Physical Therapist for MR. JOHN J BEATY (P.T.). Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JOHN J BEATY (P.T.)?
MR. JOHN J BEATY (P.T.) shows a connection to Waunakee, Wisconsin in registry-derived data.
Can I export MR. JOHN J BEATY (P.T.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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