Beatty Harris Sports Medicine, LLC
NPI 1083239982ActiveOrganization· Family Medicine, Sports Medicine· Newtown Square, PA
Family Medicine, Sports Medicine in Newtown Square, Pennsylvania, registered in NPPES in June 2020. The authorized official on file is Tricia Beatty, DO, Provider/Authorized Representative. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083239982 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2020 |
| Last updated in NPPES | Jul 6, 2020 |
| Certified by provider | Jul 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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