Robert Lee Bean, PTA
Individual provider Active NPI Physical Therapy Assistant · Chattanooga, TN
NPI 1205070646 · NPPES record last updated Apr 29, 2009
Key facts
- NPI
- 1205070646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA0000004359 (TN)
- Practice address
- 1 Siskin PLZ
Chattanooga, TN 37403-1306 - Phone
- (423) 634-1200
- NPI assigned
- Apr 29, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA0000004359 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA0000004359 | TN | Yes |
Addresses
Primary practice location
1 Siskin PLZ
Chattanooga, TN 37403-1306
Mailing address
7310 Standifer Gap Rd
Apt 1610
Chattanooga, TN 37421-1400
Phone (423) 400-5294
Other providers in Chattanooga, TN
- Thomas Marion Beahm
- Heather Ludwig Beakley
- Heather Beal
- Marilyn Louise Bean
- Mary Laura Bean
- Alyssa Bear
- Joseph Bear
- Kathryn Beard
- Thomas Derrell Beard Jr.
- Donna Kaye Bearden
All providers in Chattanooga, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.