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MRS. JILL KELLEY BEASENBURG PT
NPI 1871543033
Physical Therapist - Pediatrics in Awendaw, SC

Active since May 10, 2006
856 GRANNYS LN, AWENDAW, SC 29429(843) 259-4633(843) 388-4498 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2019, Apr 9, 2018 (2 updates tracked since 2018).

About Mrs. Jill Kelley Beasenburg Pt NPPES

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

MRS. JILL KELLEY BEASENBURG PT (NPI 1871543033) is an individual pediatrics provider in Awendaw, South Carolina, licensed in South Carolina (4236) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1871543033
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. JILL KELLEY BEASENBURGCredential: PT
Location Address856 GRANNYS LNAwendaw, SC 29429-6060
Mailing Address636 Long Point Rd Unit GMt Pleasant, SC 29464-8286 · (843) 259-4633 · Fax (843) 388-4498
Phone(843) 259-4633
Fax(843) 388-4498
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateMay 3, 20192 updates tracked since enumeration
✔ NPI 1871543033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in SC · 4236
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
856 GRANNYS LN, Awendaw, SC 29429
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Other Identifiers 1

MedicaidTH1534SC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALMETTO CHILDREN'S THERAPY, LLC
Physical Therapist (Pediatrics)
856 GRANNYS LN
AWENDAW, SC 29429
Charleston County (843) 259-4633

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 Jill Beasenburg's NPI number?

The NPI number for Jill Beasenburg is 1871543033. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Jill Beasenburg located?

Jill Beasenburg practices at 856 Grannys Ln, Awendaw, SC 29429. The listed phone number is (843) 259-4633.

What is Jill Beasenburg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Jill Beasenburg was last updated on May 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.