Provider Demographics
NPI:1336037027
Name:KBTHERAPY L.L.C.
Entity type:Organization
Organization Name:KBTHERAPY L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLBY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEECHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:757-892-4739
Mailing Address - Street 1:909 DEER XING
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-6353
Mailing Address - Country:US
Mailing Address - Phone:757-892-4739
Mailing Address - Fax:
Practice Address - Street 1:300 STATE ST E
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3702
Practice Address - Country:US
Practice Address - Phone:813-921-3840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy