Healthcare Provider Details

I. General information

NPI: 1982879672
Provider Name (Legal Business Name): MARGARET REBECCA BEAMISH PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 EAST BROWN STREET POCONO MEDICAL CENTER
EAST STROUDSBURG PA
18301-3094
US

IV. Provider business mailing address

12425 RACE TRACK RD SUITE #100
TAMPA FL
33626-3102
US

V. Phone/Fax

Practice location:
  • Phone: 570-421-4000
  • Fax:
Mailing address:
  • Phone: 800-659-1522
  • Fax: 866-360-5916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberTE006886
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number004088-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: