Mrs Jill Kelley Beasenburg, PT - Physical Therapist in Awendaw, SC

Mrs Jill Kelley Beasenburg, PT is a Physical Therapist - Pediatrics based in Awendaw, South Carolina. Mrs Jill Kelley Beasenburg is licensed to practice in South Carolina (license number 4236) and her current practice location is 856 Grannys Ln, Awendaw, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 259-4633.

NPI number for Mrs Jill Kelley Beasenburg is 1871543033 and her current mailing address is 636 Long Point Rd Unit G, Mt Pleasant, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871543033.

Contact Information

Mrs Jill Kelley Beasenburg, PT
856 Grannys Ln,
Awendaw, SC 29429-6060
(843) 259-4633
(843) 388-4498

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jill Kelley Beasenburg
GenderFemale
SpecialityPhysical Therapist - Pediatrics
Location856 Grannys Ln, Awendaw, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871543033
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 05/03/2019

Medical Identifiers

Medical identifiers for Mrs Jill Kelley Beasenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871543033NPI-NPPES
TH1534MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics 4236 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jill Kelley Beasenburg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jill Kelley Beasenburg, PT
636 Long Point Rd Unit G,
Mt Pleasant, SC 29464-8286

Ph: (843) 259-4633
Mrs Jill Kelley Beasenburg, PT
856 Grannys Ln,
Awendaw, SC 29429-6060

Ph: (843) 259-4633

Reviews and Comments


Physical Therapist in Awendaw, SC

Leah Mcconnell, MHSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 751 Seewee Bluff Rd, Awendaw, SC 29429
Phone: 843-670-7246    
Palmetto Children's Therapy, Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 856 Grannys Ln, Awendaw, SC 29429
Phone: 843-259-4633    Fax: 843-388-4498
High Tide Pediactric Therapy Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3909 Sawmill Ct, Awendaw, SC 29429
Phone: 814-282-7499    

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