Provider Demographics
NPI:1285726075
Name:VELTMAN, BEVERLY JEANNINE (PHYSICAL THERAPIST P)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:JEANNINE
Last Name:VELTMAN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST P
Other - Prefix:MISS
Other - First Name:BEVERLY
Other - Middle Name:JEANNINE
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:PO BOX 144133
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78714
Mailing Address - Country:US
Mailing Address - Phone:512-426-0375
Mailing Address - Fax:512-533-9317
Practice Address - Street 1:6005 GILBERT RD
Practice Address - Street 2:PATIENT HOMES
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78724
Practice Address - Country:US
Practice Address - Phone:512-426-0375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010783225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPT0001958Medicaid
TX658046OtherBCBS PAR PLAN