Valencia Reynolds Beamon, RPT
Individual provider Active NPI Physical Therapist · Camden, MS
NPI 1689808701 · NPPES record last updated May 13, 2014
Key facts
- NPI
- 1689808701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT3180 (MS)
- Practice address
- 1834 Highway 17
Camden, MS 39045-9005 - Phone
- (662) 571-4889
- Fax
- (662) 468-0622
- NPI assigned
- May 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| PT3180 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lets Move Physical Therapy and Wellness Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3180 | MS | Yes |
Addresses
Primary practice location
1834 Highway 17
Camden, MS 39045-9005
Mailing address
1834 Highway 17
Camden, MS 39045-9005
Phone (662) 571-4889
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014160 | Medicaid | MS |
Other providers in Camden, MS
- Camden Community Family Health Clinic, Inc.
- Linda Peterson Chambers
- Hands Helping Hands
- Lets Move Physical Therapy and Wellness Inc
- Premier Family Medicine, PLLC
All providers in Camden, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2014. 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.