Michael Beeman
Individual provider Active NPI Physical Therapy Assistant · Crofton, MD
NPI 1831746718 · NPPES record last updated Aug 24, 2019
Key facts
- NPI
- 1831746718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A5064 (MD)
- Practice address
- 2131 Davidsonville Rd
Crofton, MD 21114-1632 - Phone
- (410) 721-1000
- NPI assigned
- Aug 24, 2019
- 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 |
|---|---|---|---|
| A5064 | MD | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5064 | MD | Yes |
Addresses
Primary practice location
2131 Davidsonville Rd
Crofton, MD 21114-1632
Mailing address
209 John Patrick Dr
Stevensville, MD 21666-2680
NPI Registry JSON
{
"created_epoch": "1566604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566604800000",
"number": "1831746718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 JOHN PATRICK DR",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 DAVIDSONVILLE RD",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141632",
"telephone_number": "410-721-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEMAN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-24",
"last_updated": "2019-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A5064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
- Danielle Ellen Barton
- Alicyn Bassler
- Bay Area Wellness Group PC
- Diana Renee Beales
- Jennifer Beall
- Beesly Counseling, LLC
- Behaviorality, LLC
- Sheri A. Bellow
- Dallas Bennett
- Steven Michael Berkowitz
All providers in Crofton, MD · Physical Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2019. 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.