MEDICARE: MRS. PATRICIA LAMAS BEERS MPT

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	225100000X	Physical Therapist	1638	NE
2	225100000X	Physical Therapist	2305210429	VA
3	225100000X	Physical Therapist	PT28416	FL
4	225100000X	Physical Therapist	PT36017	CA

General Provider Information

NPI Number	:	1538269196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA LAMAS BEERS MPT

Provider Business Mailing Address
First Line	:	PO BOX 370
Second Line	:
City	:	FORTSON
State	:	GA
Zip	:	31808-0370
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6775 CHOPRA TER STE 300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-5811
Country	:	US
Telephone Number	:	407-965-4114
Fax Number	:	833-408-2573

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

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	08/14/2023

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