Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Blake Beadle, PT, DPT

Individual provider Physical Therapist · NPI 1295446383

Dr. Kevin Blake Beadle, PT, DPT is a Physical Therapist in Private Practice in Casa Grande, Arizona. Qualified in 2022, 4 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
4
Licensed in
AZ, IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1485 E Florence Blvd Ste 105
Casa Grande, AZ 85122-4797
Phone: (520) 494-3058
Fax: (520) 214-5059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5601 W Eugie Ave Ste 202, Glendale, AZ 85304-1256 — (602) 843-8436

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-32707 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 070.027038 (IL)

Record details

NPI number1295446383
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedDecember 8, 2022
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Casa Grande