Angie D Beason
Individual provider Active NPI Physical Therapy Assistant · Jefferson, GA
NPI 1689925604 · NPPES record last updated Oct 1, 2012
Key facts
- NPI
- 1689925604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1837 (GA)
- Practice address
- 337 Mauldin Rd
Jefferson, GA 30549-1315 - Phone
- (706) 202-3985
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- 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 |
|---|---|---|---|
| 1837 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1837 | GA | Yes |
Addresses
Primary practice location
337 Mauldin Rd
Jefferson, GA 30549-1315
Mailing address
337 Mauldin Rd
Jefferson, GA 30549-1315
Phone (706) 202-3985
Other providers in Jefferson, GA
- Athens Bone and Joint
- Athens Sleep Therapy LLC
- Heather Baker
- Hadiya Barlatier-Johnson
- Bartley R. Richards, DO PC
- Lynne Beelman
- Susan Marie Bell
- Luis Eduardo Berbessi
- Kimesh Bhana
- Blue Ink Medical LLC
All providers in Jefferson, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2012. 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.