MEDICARE: MRS. ERIN SULTEMEIER BEARD PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	1150660	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8543250	OTHER	TX	AETNA
2	P00065911	OTHER		RR MC
3	8T1357	OTHER	TX	BCBS
4	0082279	OTHER		BLUELINK

General Provider Information

NPI Number	:	1861486805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN SULTEMEIER BEARD PT

Provider Business Mailing Address
First Line	:	4310 JAMES CASEY ST
Second Line	:	SUITE 1D
City	:	AUSTIN
State	:	TX
Zip	:	78745-1120
Country	:	US
Telephone Number	:	512-445-5213
Fax Number	:	512-445-4353

Provider Business Practice Location Address
First Line	:	4310 JAMES CASEY ST
Second Line	:	SUITE 1D
City	:	AUSTIN
State	:	TX
Zip	:	78745-1120
Country	:	US
Telephone Number	:	512-445-5213
Fax Number	:	512-445-4353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	07/08/2007

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