Provider Demographics
NPI:1982879672
Name:BEAMISH, MARGARET REBECCA (PTA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:REBECCA
Last Name:BEAMISH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12425 RACE TRACK RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-3102
Mailing Address - Country:US
Mailing Address - Phone:800-659-1522
Mailing Address - Fax:866-360-5916
Practice Address - Street 1:206 EAST BROWN STREET
Practice Address - Street 2:POCONO MEDICAL CENTER
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-3094
Practice Address - Country:US
Practice Address - Phone:570-421-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE006886225200000X
NY004088-1225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant