Provider Demographics
NPI:1801340294
Name:BEILSTEIN, JASON A (DPT)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:A
Last Name:BEILSTEIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E KANSAS CITY ST #101
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2971
Mailing Address - Country:US
Mailing Address - Phone:605-348-9530
Mailing Address - Fax:605-737-0874
Practice Address - Street 1:5610 PEACEFUL PINES RD STE 4
Practice Address - Street 2:
Practice Address - City:BLACK HAWK
Practice Address - State:SD
Practice Address - Zip Code:57718-9556
Practice Address - Country:US
Practice Address - Phone:605-716-1300
Practice Address - Fax:605-737-0874
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist