Provider Demographics
NPI:1316509649
Name:BEEMAN, SAMANTHA LAUREN (DPT)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LAUREN
Last Name:BEEMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:SAMANTHA
Other - Middle Name:LAUREN
Other - Last Name:SWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3078 W AUTUMN BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-4857
Mailing Address - Country:US
Mailing Address - Phone:520-205-2168
Mailing Address - Fax:
Practice Address - Street 1:8327 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7313
Practice Address - Country:US
Practice Address - Phone:520-325-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-0117482251X0800X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics