Lisa Beitman, M.P.T.

Individual provider Active NPI Physical Therapy Clinic/Center · Blue Bell, PA

NPI 1962799650 · NPPES record last updated Sep 17, 2013

Key facts

NPI
1962799650
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
PT015768 (PA)
Practice address
255 Skippack Pike
Suite 130
Blue Bell, PA 19422
Phone
(215) 591-0700
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT015768 PA Yes

Addresses

Primary practice location

255 Skippack Pike
Suite 130
Blue Bell, PA 19422

Mailing address

523 Custis Rd
Glenside, PA 19038-2011
Phone (267) 251-3015

Other identifiers

IdentifierTypeStateIssuer
1028229160001MedicaidPA

Other providers in Blue Bell, PA

All providers in Blue Bell, PA · Physical Therapy Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.