BEACON PHYSICAL THERAPY
NPI 1053864868
Physical Therapist in Granger, IN

Active since July 28, 2016
3221 BEACON PARKWAY, SUITE B, GRANGER, IN 46530(574) 647-1700(574) 291-3351 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beacon Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON PHYSICAL THERAPY (NPI 1053864868) is a healthcare organization registered as a physical therapist in Granger, Indiana and active in the NPI registry since July 2016. The organization lists Jeffrey P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053864868
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address3221 BEACON PARKWAY, SUITE BGranger, IN 46530
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Fax(574) 291-3351
Organization SubpartNo
Authorized OfficialJeffrey P CostelloCfo · (574) 647-3549
Enumeration DateJuly 28, 2016
✔ NPI 1053864868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3221 BEACON PARKWAY, Granger, IN 46530

Other Names 1

Doing Business AsBeacon Physical Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

734

Medicare enrollment records show 734 clinicians reassign Medicare billing to Beacon Physical Therapy, which bills Medicare for the services they deliver. Of these, 486 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner188
Family Practice113
Certified Registered Nurse Anesthetist (CRNA)49
Obstetrics/Gynecology49
Internal Medicine42
Neurology29
Pediatric Medicine28
Psychiatry21
37 other specialties215

Nearest to this location (20)

See all 734
Nurse Practitioner
NPI 1851173181
52500 FIR RD
Granger, IN 46530
(574) 271-0700
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1134399025
229 FLORENCE AVE STE 233
Granger, IN 46530
(574) 855-4575
✔ PECOS1.3 mi
Family Practice
NPI 1952509853
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1982691747
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS1.5 mi
Family Practice
NPI 1942799838
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1285622373
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1134214240
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS1.5 mi
Family Practice
NPI 1558395079
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1407580533
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1467610352
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1861897688
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare1.5 mi
Podiatry
NPI 1689055451
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare1.5 mi
Emergency Medicine
NPI 1710064241
6913 N MAIN ST
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1114378635
6913 N MAIN ST
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1255371514
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS✔ Accepts Medicare1.5 mi
Rheumatology
NPI 1578552386
6901 N MAIN ST STE 102
Granger, IN 46530
(574) 647-4500
✔ PECOS✔ Accepts Medicare1.5 mi
Rheumatology
NPI 1053396127
6901 N MAIN ST STE 102
Granger, IN 46530
(574) 647-4500
✔ PECOS✔ Accepts Medicare1.5 mi
Plastic and Reconstructive Surgery
NPI 1154328516
611 E DOUGLAS RD STE 108
Mishawaka, IN 46545
(574) 968-9100
✔ PECOS✔ Accepts Medicare2.5 mi
Plastic and Reconstructive Surgery
NPI 1811379852
611 E DOUGLAS RD STE 108
Mishawaka, IN 46545
(616) 391-6243
✔ PECOS✔ Accepts Medicare2.5 mi
Otolaryngology
NPI 1275735581
810 PARK PLACE
Mishawaka, IN 46545
(574) 366-0240
✔ PECOS✔ Accepts Medicare2.6 mi
See all 734 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1053864868. It was assigned to this organization in the NPPES registry on July 28, 2016. The provider is doing business as Beacon Physical Therapy.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 3221 Beacon Parkway Suite B, Granger, IN 46530. The listed phone number is (574) 647-1700.

What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Beacon Medical Group, Inc. enrolled in Medicare?

Yes. Beacon Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Beacon Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (188), Family Practice (113) and Certified Registered Nurse Anesthetist (CRNA) (49). Of these, 486 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.