C. Spencer Beeman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 204 Issued in CA

Practice address

26571 St. Hwy. 18
Suite B
Rimforest, CA 92378-0010

Phone

(909) 337-4192

Fax

(909) 336-1982

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Registered Physical Therapy Providers, Inc.

  • Physical Therapist
  • Rimforest, CA
  • NPI 1093873887

  CA, Physical Therapist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1124186929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "BLUE JAY",
            "state": "CA",
            "postal_code": "923170784",
            "telephone_number": "909-336-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26571 ST. HWY. 18",
            "address_2": "SUITE B",
            "city": "RIMFOREST",
            "state": "CA",
            "postal_code": "923780010",
            "telephone_number": "909-337-4192",
            "fax_number": "909-336-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEMAN",
        "first_name": "C.",
        "middle_name": "SPENCER",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cristina Barrios Villa
• Sandra Thomspon Chetelat, P.T.
• Alexandria Lorraine Derry
• Registered Physical Therapy Providers, Inc.
• Rialto Medical Supplies, Inc.
• Della Rose Utt, P.T.

• All providers in Rimforest, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.