Individual provider Active NPI

Mary Susan Beamer, PT, MA, CHT

  • Physical Therapist
  • Schaumburg, IL
National Provider Identifier
1215986302
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070005208 Issued in IL
Practice address
1443 W Schaumburg Rd
Ste 102
Schaumburg, IL 60194-4065
Phone
(847) 895-2910
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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 070005208 IL Primary

Addresses

Primary practice location

1443 W Schaumburg Rd
Ste 102
Schaumburg, IL 60194-4065

Mailing address

244 Hawk CT
Schaumburg, IL 60193-5709
Phone (847) 798-6513

Other identifiers 1

IdentifierTypeStateIssuer
1619980OtherILBCBS OF IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Orthopedic Specialists LTD Physical Therapist Past Accepting new patients
Rehab Management Specialists, PC Physical Therapist PastSince Dec 1, 2004 Accepting new patients
Midamerica Orthopaedics S.C. Past Accepting new patients

Organizations & group practices 3

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1215986302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 HAWK CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601935709",
            "telephone_number": "847-798-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 W SCHAUMBURG RD",
            "address_2": "STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944065",
            "telephone_number": "847-895-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMER",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "PT, MA, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "1619980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.