Provider Demographics
NPI:1073043873
Name:BEEBER, EMILY ANN (PT, DPT OCS)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:BEEBER
Suffix:
Gender:F
Credentials:PT, DPT OCS
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 H ST NW
Mailing Address - Street 2:STE LL110
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-5476
Mailing Address - Country:US
Mailing Address - Phone:630-373-4506
Mailing Address - Fax:
Practice Address - Street 1:25 MASSACHUSETTS AVE NW
Practice Address - Street 2:SUITE C 500
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001
Practice Address - Country:US
Practice Address - Phone:202-808-9496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305211212225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist