Individual provider Active NPI

Daniel Alexius Beeman, M.P.T.

  • Physical Therapist
  • Woodinville, WA
National Provider Identifier
1215015607
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025208 PT00008071 Issued in WA
Practice address
17631 NE 160TH PL
Woodinville, WA 98072-9151
Phone
(425) 318-0551
Fax
(425) 984-1236
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025208 PT00008071 WA Primary

Addresses

Primary practice location

17631 NE 160TH PL
Woodinville, WA 98072-9151

Mailing address

17631 NE 160TH PL
Woodinville, WA 98072-9151
Phone (425) 318-0551

Other identifiers 10

IdentifierTypeStateIssuer
5496BEOtherWAREGENCE
G8873211OtherWAMEDICARE
8563BEOtherWAREGENCE
5763BEOtherWAREGENCE
8510133OtherWADSHS
8947452OtherWAL&I CRIME
0235622OtherWAL&I
4796BEOtherWAREGENCE
6397BEOtherWAREGENCE
6398BEOtherWAREGENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070403000600 WA Practitioner - Physical Therapist in Private Practice 9830293687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Expert and Consulting LLCGroup PAC ID 5294839031, 6 clinicians
Physioworks Silverdale PLLCGroup PAC ID 3971908484, 7 clinicians

Practice addresses (Care Compare)

319 Washington Ave S
Kent, WA 98032-5767
Phone (253) 650-9780

9399 Ridgetop Blvd NW
Suite 101
Silverdale, WA 98383-8580
Phone (360) 900-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025208 PT00008071WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Expert & Consulting LLC Physical Therapist CurrentSince Apr 2, 2007 Accepting new patients
Physioworks Silverdale PLLC CurrentSince Jan 14, 2021 Accepting new patients

Locations

1705 136th Pl NE
Ste 210
Bellevue, WA 98005
Phone (425) 643-9776

319 Washington Ave S
Kent, WA 98032
Phone (253) 650-9780

9399 Ridgetop Blvd NW
Ste 102
Silverdale, WA 98383
Phone (360) 900-2626

9399 Ridgetop Blvd NW
Ste 101
Silverdale, WA 98383
Phone (360) 516-1210

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1215015607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17631 NE 160TH PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729151",
            "telephone_number": "425-318-0551",
            "fax_number": "425-984-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17631 NE 160TH PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729151",
            "telephone_number": "425-318-0551",
            "fax_number": "425-984-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEMAN",
        "first_name": "DANIEL",
        "middle_name": "ALEXIUS",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "025208 PT00008071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5496BE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8873211",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "8563BE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5763BE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8510133",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME",
            "identifier": "8947452",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0235622",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "4796BE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6397BE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6398BE",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.