DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN BLAKE BEADLE, PT, DPT

Active Sole Proprietor

DR. KEVIN BLAKE BEADLE, PT, DPT is a Physical Therapy Assistant healthcare provider located in CASA GRANDE, Arizona. NPI 1295446383 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CASA GRANDE, AZ

Registration Details

NPI Number
1295446383
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2022 (3.6777268815091 yrs)
Last Updated
Aug 25, 2025
Licenses
070.027038 (IL)
LPT-32707 (AZ)
Sole Proprietor
Yes

Practice Information

Address
1485 E FLORENCE BLVD STE 105
CASA GRANDE, AZ, 851224797
Browse AZ providers · Browse ZIP 85122
Phone
5204943058
Fax
5202145059
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in CASA GRANDE, AZ

Name Credential NPI
MR. DAVID MAX HANCOCK PT 1972531697
MR. THOMAS EDWARD MCGRATH PT 1285662734
ARI DAVID GOLDSTEIN PT 1104933019
DR. SEAN O'TOOLE FLANNAGAN D.P.T. 1194806810
MRS. TANYA RUTH STENHOUSE PHYSICAL THERAPIST 1861579948
ANNE CAROL GORDON PT 1376683607
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.