Provider Demographics
NPI:1538269196
Name:BEERS, PATRICIA LAMAS (MPT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LAMAS
Last Name:BEERS
Suffix:
Gender:F
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:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-0370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6775 CHOPRA TER STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-5811
Practice Address - Country:US
Practice Address - Phone:407-965-4114
Practice Address - Fax:833-408-2573
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1638225100000X
VA2305210429225100000X
FLPT28416225100000X
CAPT36017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100502938Medicaid
NVV38788Medicare PIN
NVV36885Medicare PIN