Provider Demographics
NPI:1215015607
Name:BEEMAN, DANIEL ALEXIUS (MPT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ALEXIUS
Last Name:BEEMAN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17631 NE 160TH PL
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-9151
Mailing Address - Country:US
Mailing Address - Phone:425-318-0551
Mailing Address - Fax:425-984-1236
Practice Address - Street 1:17631 NE 160TH PL
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-9151
Practice Address - Country:US
Practice Address - Phone:425-318-0551
Practice Address - Fax:425-984-1236
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA025208 PT00008071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5496BEOtherREGENCE
WAG8873211OtherMEDICARE
WA8563BEOtherREGENCE
WA5763BEOtherREGENCE
WA8510133OtherDSHS
WA8947452OtherL&I CRIME
WA0235622OtherL&I
WA4796BEOtherREGENCE
WA6397BEOtherREGENCE
WA6398BEOtherREGENCE