IndividualActive
Jackie Beas, PT
NPI 1629309869 · Physical Therapist · Lafayette, IN
Provider details
- NPI number
- 1629309869
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 99040802A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1411 S. Creasy Lane
100
Lafayette, IN 47905-7433
Phone: (765) 447-5552
Fax: (765) 449-1054
Street-level locationGet directions
Mailing address
Po Box 4699
Lafayette, IN 47903-4699
Registry dates
- Enumerated
- 2010-01-28
- Last updated
- 2010-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.