Provider Demographics
NPI:1992744551
Name:BEILSTEIN, DARREN JAY (PT)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:JAY
Last Name:BEILSTEIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4544
Mailing Address - Country:US
Mailing Address - Phone:757-591-2668
Mailing Address - Fax:757-591-2669
Practice Address - Street 1:704 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE 400A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4544
Practice Address - Country:US
Practice Address - Phone:757-591-2668
Practice Address - Fax:757-591-2669
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203979225100000X
MEPT1178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC03402Medicare ID - Type UnspecifiedGROUP NUMBER
VA006833A02Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER